2930 RUCKER AVE FAST SIGNS 2020-01-30

imm - ELECTRICAL PERMIT APPLILMTION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits ... .w` :. .� ..'. \\,..: -,4,1"00,40:001r:11 ... FORMAT _ .... .? � ._ ..... ... aY PROJECT ADDRESS: 2930 Rucker Ave BUILDING AREA: 3900 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR , ,TaVNH SE El DUPLEX ❑ADU ❑ MULTI FAMILY #OF UNITS: ❑✓ COMMERCIAL EL E , LCAL 0.010- 'IN 'IM II N+II &4,,IngOARWOON O wORK CONTRACT PRICE OF W RK:$ 35,000 I ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OI ORK: Upgraded service\to 3phase 400amps Add new circuits THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO 0 YES-Select Scope: 0 Service 0 Feeder 7 Circuits-#:10 ❑Complete Re-wire LOW VOLTAGE WORK? 0 NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio El Secure Access ❑ Security System El 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): IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: igNO LJ 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: ✓❑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. ., tt OWNER NAME: Daniel Jolly TENANT BUSINESS NAME(If Commercial): Fast Signs OWNER MAILING ADDRESS: STREET 2802 Colby Ave , Everett STATE WA ZIP 98201 OWNER PHONE:4253271235 'OWNER EMAIL: CONTRACTOR NAME: Skyline Electrical Services LLC CONTRACTOR ADDRESS: sTREET9229 271st st nw #746 CITY Stanwood STATE WA ZIP 98292 CONTRACTOR PHONE:4252018288 'CONTRACTOR EMAIL:Wende@Skylinelectric.COm CONTRACTOR LIC #(REQUIRED):SKYLIES82ORD CITY OF EVERETT BUSINESS LIC #(REQUIRED) 60163 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4252018288 Wende Quesnell CONTACT EMAIL:Wende@skyllnelectric.com 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#: Wende Quesnell 10/23/2019 E 61\ (.0 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-A plication