3721 OAKES AVE EVERETT SCHOOL DISTRICT 2020-02-28

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425.257-8857 I(E)everetteps@evereMNa.gov I w.wv.everettwa.gov/permits PROJECT S1T#t INPORIMATJONi` :...�: 3 Vq :.. PROJECT ADDRESS: 0 Broadway— BUILDING AREA: N/A sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: Q COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF-WORK. CONTRACT PRICE OF WORK:$ 9,700.00 ASSOCIATED BUILDING PERMIT#(if applicable) N/A DESCRIBE SCOPE OF WORK: Demo and "safe-off" existing circuitry to sign. Provide electrical circuitry and connections to new Sign after installed. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO DE YES-Select Scope: Cl Service ❑ Feeder 0 Circults-#:4 El Complete Re-wire LOW VOLTAGE WORK? Q✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑ Intercom ❑Thermostat ❑Audio ❑Secure Access El Security System 0 Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Flre Alarm Permit Is required for review of device location and installation approval. 0 Other(List All): a '. CODE C.OMPLIIANCS s IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ED 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:DE NO OYES-See Below&Pg.3 Pursuant to RCW 19.28.261,property owners and teaseholders cannot perform electrical work on buildings for rent,sate,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: 7th Inning Stretch, LLC TENANT BUSINESS NAME(If Commercial):Everett Aqua Sox OWNER MAILING ADDRESS: STREET 3802 Broadway CITY Everett STATE WA ZIP 98201 OWNER PHONE:NIA OWNER EMAIL:N/A CONTRACTOR NAME: Seahurst Electric, Inc. CONTRACTOR ADDRESS: STREEr2915 Chestnut St. cry Everett STATE WA z„. 98201 CONTRACTOR PHONE:(425) 258-1882 CONTRACTOR EMAIL:dleblanC@seahurst.COm CONTRACTOR UC.#(REQUIRED):SEAHUEI099QN CITY OF EVERETT BUSINESS UC.#(REQUIRED):18763 PRIMARY CONTACT: DOWNER DE CONTRACTOR (OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 258-5143 Dave LeBlanc CONTACT EMAIL:dleblanc@seahurst.corn AGREEMENT::1 hereby certify that 1 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 1 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#: 5-23-19 E G l W OwnerAuthoriz Agent Signature Date (Revised 1/11/2019) Page t-Application