6500 MERRILL CREEK PKY AVTECH TYEE 2020-01-30

ELECTRICAL PERMIT APPLICATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 65500 Merrill Creek ParkWay,Everett WA 98203 BUILDING AREA: 111,000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION Ikl TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL E. TR IONti&TION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 58080 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: (9) 20 Packaged Rooftop Cooling Units THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder L7 Circuits-#:9 ❑ Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑Audio L❑ Secure Access ❑ Security System ✓❑ Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. ❑ Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below& Pg.2 By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: El NO EYES-See Below&Pg.3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION, OWNER NAME: Washington Holdings TENANT BUSINESS NAME(If Commercial):AVtech Tyee OWNER MAILING ADDRESS: STREET 600 University Street Suite 2820 CITY Seattle STATE WA ZIP 98101 OWNER PHONE:( 206) 613-5300 OWNER EMAIL:thOlt@WahOldingS.COm CONTRACTOR NAME: Evergreen Power Systems CONTRACTOR ADDRESS: STREET3623 E Mariginal Way S CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:(206) 786-1763 CONTRACTOR EMAIL:dmackey@evergreenps.net CONTRACTOR LIC.#(REQUIRED):EVERGPS950BE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):045738 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206) 510-5167 Todd Sears CONTACT EMAIL:tsears@evergreenps.net AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Drew Mackey 8/5/2019 ER` kC\ O - 02,7) Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application