2020 LAKE HEIGHTS DR WATERFORD PLACE APTS 2021-12-14

N1ECTRICAL PERMIT APPLIATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 i FAX 425.257-8857 (E)everetteps©everettwa.gov I www.everettwa gov/permits PROJEC1`SITE;.INFORMATION .' PROJECT ADDRESS: 2020 Lake Heights Dr., Everett, WA 98208 BUILDING AREA NIA sq ft PROJECT TYPE: El NEW CONSTRUCTION 0 ADDITION ❑TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE El DUPLEX ❑ADU Cl MULTI-FAMILY-#OF UNITS: ElCOMMERCIAL ELECTRICAL APPOCATION INFORMATION &DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 1000 ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIBE SCOPE OF WORK: Provide and install 40A, 2 pole circuit to a 3R disconnect for outdoor Heat Pump unit. Provide connections and disconnects to 2 (qty) indoor slip system AC units. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ❑✓ YES-Select Scope:❑Service ❑ Feeder ElCircuits-#:1 ❑ Complete Re-wire LOW VOLTAGE WORK? ❑✓ 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. Cl Other(List All): n a CODE=COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO El YES—See Below&Pg.2 C 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: ElNO 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. w ,. a..:. :CONTACT INFORMATION. t ')17 OWNER NAME:Waterford Apartments TENANT BUSINESS NAME(If Commercial):Waterford Apartments OWNER MAILING ADDRESS: STREET 2020 Lake Heights Dr. cnr Everett STATE WA zip 98208 OWNER PHONE:(425) 337-9270 OWNER EMAIL:Waterford@sageaptmgt.com CONTRACTOR NAME: Seahurst Electric, Inc. CONTRACTOR ADDRESS: sTREET2915 Chestnut St. CITY Everett STATE WA zip 98201 CONTRACTOR PHONE:(425)258-5143 CONTRACTOR EMAIL:dleblanC@SeahUrSt.COm CONTRACTOR LIC.#(REQUIRED):SEAHUEI099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED):18763 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 258-5143 Dave LeBlanc CONTACT EMAIL:dleblanc@seahurst.com AGREEMENT I hereby certify that I have read and examined this application and know the same to be true and correct. Alf 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 or any other state or local law regulating construction or the performance of constructkrn. 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#: \\:4 E �9C)S _0( I"arr is 529.19 .•� OwnerlAuth. '+. .:Agent ", re Date (Revised 1/11/2019) Page 1-Application