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3003 W CASINO RD BLDG 45-01 2020-04-01
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3003 W CASINO RD BLDG 45-01 2020-04-01
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4/1/2020 11:37:17 AM
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4/1/2020 11:37:09 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 45-01
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>• <br /> EECTRICAL PERMIT APPL kTION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 West Casino Road, Everett, WA BUILDING AREA: 45-01 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT A REMODEL <br /> BUILDING USE: n SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ 262,544.32 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> Temporary power services for the 45-01 Paint Hangar modifications <br /> r V 2 'R36) <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? L NO 7 YES-Select Scope: LI Service n Feeder n Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ✓ NO ❑ YES-#of Devices: <br /> SELECT SCOPE (REQUIRED): LI Data ❑ Intercom Thermostat ❑ Audio ❑ Secure Access n Security System <br /> ❑ Fire Alarm- Installations under this permit only include electrical wiring rough-in of the system. An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑ Other(List All): <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 7 NO ❑ YES--See Below&Pg. 2 <br /> 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 <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: nNO 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 <br /> without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Company TENANT BUSINESS NAME (If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3003 West Casino Road <br /> CITY Everett STATE WA z,P 98204 <br /> OWNER PHONE:425-21 8-1685 OWNER EMAIL:arthur.huyke@boeing.com <br /> CONTRACTOR NAME: VELA Electric & Technologies <br /> CONTRACTOR ADDRESS: STREET5614 7th Ave S <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-436-5200 CONTRACTOR EMAIL:David.Wolf@veca.com <br /> CONTRACTOR LIC.#(REQUIRED):VECAEET82100 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 <br /> PRIMARY CONTACT: L OWNER 7CONTRACTOR ❑OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-927-9188 <br /> Mike Hug l e n CONTACT EMAIL:mike.huglen@veca.com <br /> 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 <br /> 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 <br /> local law reg lating 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 <br /> comply wi the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> I /._ /-202o E -too ( -- O2 4 <br /> Owner/Authorized Agent Signat.re Date (Revised 1/11/2019) Page 1-Application <br />
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