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ELECTRICAL F ZMIT & FIRE ALARM PE fiIT APPLICATION <br /> , ' CITY OF EVERETT PERMIT SERVICES <br /> ':4411. 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3025 Oakes Avenue <br /> PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT © REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#t OF UNITS: 0 COMMERCIAL <br /> BUILDING AREA: NrA sq ft N/A <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$22,300.00 ASSOCIATED BUILDING PERMIT#(if applicable} N/A <br /> IS THIS LOW VOLTAGE WORK? ❑ NO © YES-l OF DEVICES. 18 Security Panels <br /> IS THIS A FIRE ALARM PERMIT? ❑✓ NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> DESCRIPTION OF WORK Ss CODE COMPLIANCE <br /> DESCRIPTION OF WORK: Security/Access Control Panel Replacements- Demo Existing & Install New w/Associated Low <br /> Voltage Cabling& Line Voltage 124vac Alterations (Line Voltage Limited to Altered Single Point Power Connection Only) <br /> Specific Locations: (7)Panels Wall Street Side&(11)Panels @ Owens Street Side EIS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH ANDCOR PERSONAL CARE FACILITIES: 0 NO YES--See Below&Pg. 2 <br /> By checking this box, I am stating that I have read and understand at of WAC 296-46B-900,selected the specific reason on page 2 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:WINO EYES-See Below&Pg 3 <br /> ❑ Pursuant to RCW 19 28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without <br /> the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and signed the <br /> see page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification rlequirement. <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomsh County Jail TENANT BUSINESS NAME(If Commercial): Same as Owner <br /> OWNER MAILING ADDRESS: STREET 3025 Oakes Avenue <br /> crry Everett STATE WA ,a 98201 <br /> OWNER PHONE:(425) 388-3395 OWNER EMAIL: <br /> CONTRACTOR NAME: Epic Electric Inc <br /> CONTRACTOR ADDRESS: sTREEr PO Box 357 <br /> apt Snohomish STATE WA z P 98291 <br /> CONTRACTOR PHONE: (360)563-5985 CONTRACTOR EMAIL: epicelectric@aol,cOm <br /> CONTRACTOR tiC.#(REQUIRED): EPICEI*033LP ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425)343-5985 <br /> Steve Brown CONTACT EMAIL: stevetrown@epicelectricinc.com <br /> AGREEMENT I hereby certify that t have read and examined this application and know the same to be true and correct_ All provisions of laws and ordinances <br /> 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 <br /> provisions of any other state or local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the <br /> work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296 200 WAG. <br /> city of Everett Official Use Only <br /> Digitally signed by Steven P.Brown PERMIT 4 <br /> DN:cn=Steven P.Brown,o=Epic Electric,Inc., <br /> ou,email=s[eve.brown@epicelectricinccom, <br /> c=US <br /> Date:2019.01.15 093939-06'00' 01/15119 <br /> Owner/Authorized Agent Signature Date (Revised 1115x2018) Page 1-Application <br />