2707 COLBY AVE MERRILL LYNCH 2020-02-06

ENE 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 1(E)everetteps@everettwa.gov j.www.everettwa.govtpermits �` �4> [ ' PRO'. T�'�. .''�� .<:; a v s Cze. ' ,y�r ,a t x �;r Y; r rn+.t. eia x�,ke,�.'s Cs�"'�it _``rsy'`z'�§"" ,.ads,��.��<o. "„i'�s, ,.�a,.�5.*�i� `�. ,w�.. �..< s % .��_"�� ._, �.,. .,,., _, h5.,.... -,„., ,_ .... PROJECT ADDRESS: 2707 Colby Avenue -\tk W/ BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION El TENANT IMPROVMENT ✓�REMODEL BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX Ll ADU El MULTI-FAMILY-#OF UNITS: CD COMMERCIAL q otf a x CONTRACT PRICE OF WORK:$ 2000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: LV wiring for new security devices THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? NO El YES-Select Scope:El Service El Feeder El Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? El NO []✓ YES-#of Devices:3 SELECT SCOPE(REQUIRED): El Data El Intercom Cl Thermostat ❑Audio ✓Q Secure Access D 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): kyr �k 3 +r�' a r E s a 3a'� + 7 �M a r ` '� 7. 4 CQDE PMAS04 x °4zs^''` r zfuv(3a,i ld" ,a,.$lMaiar;t rf+r' g rr,. IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO D 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 OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: NO DYES-See Below&Pg.3 C ENO 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. CON " O ll TIO �fx ' ,' ., Fs OWNER NAME: TENANT BUSINESS NAME(If Commercial): Merrill Lynch OWNER MAILING ADDRESS: STREET 2707 Colby Avenue,#1401 are Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Nelson Electric,Inc. CONTRACTOR ADDRESS: STREET 9620 Stone Avenue North,STE 201 ern, Seattle STATE WA zip 98103 CONTRACTOR PHONE:206-5234525 CONTRACTOR EMAIL:kwilbur@nelsonelec.com CONTRACTOR LIC.#(REQUIRED):NELSOEI132Cz CITY OF EVERETT BUSINESS LIC.#(REQUIRED):009470 PRIMARY CONTACT: DOWNER E1CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-353-6633 Mi rwa i s Aza m i CONTACT EMAIL:MAzami@nelsonelec.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Ali 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 tope orm 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 PE #: Ale E LAD ' tfPL_ • ner uthorized Age ature Date (Revised 1/11/2019) Page 1-Application 3