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i <br /> ii —ECTRICAL PERMIT 3200AP Ji ATION <br /> EVERETTCITY OF EVERETT PERMIT SER <br /> CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 3000 Rockefeller Lane, Everett, WA 98201 BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> CONTRACT PRICE OF WORK:$2,3756011 it ,I b ASSOCIATED�� BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: 410 <br /> f ( W►� . <br /> Pull new 208/1 ph power source to each of the (4) split systems. Install new electrical disconnects. <br /> Provide and install (4) new t-stats. <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑✓ Service ❑ Feeder El Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:4 <br /> SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ✓❑Thermostat ❑Audio ❑Secure Access ❑ 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 /> IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑ 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: ❑✓ NO 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 <br /> mx this licensing/certification requirement. <br /> S3.,M #a z'-..�-3' '.- — k - �'". oN� 4� IlN'IrgR X3.^5'-:i _ d� 9v` -'•-�` S • <br /> ;�, ��-r- -a'��'.=�. �"�.�,.t k .,�� �1 . 3� i��.-3.:.s�,.'��+r���f, .. '`'���.����.;1�,�.���€�::�,�,��'-�JL-�' �e�.�'--�.�,.�-. � ,�,,,s.,� �. "� i fir. <br /> OWNER NAME: Snohomish County Facilities TENANT BUSINESS NAME(If Commercial): Oakes Street Jail <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Lane <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-754-4509 OWNER EMAIL:N.A <br /> CONTRACTOR NAME: Hermanson Company <br /> CONTRACTOR ADDRESS: STREET 1221 2nd Ave N <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE:206-575-9700 CONTRACTOR EMAIL:N.A. <br /> CONTRACTOR LIC.#(REQUIRED):HERMACLOO5BJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 37262 <br /> PRIMARY CONTACT: DOWNER ❑CONTRALTO _ T ,__ , .. ._ .__,_ � �._•_ .._._ k.=-=---,_—__-_.� -_�.� , T. �__„ ______ <br /> Y R ❑✓OTHER(Please Specify) Applicant <br /> CONTACT NAME: CONTACT PHONE:206-305-9238 , <br /> Lyndsi Foster CONTACT EMAIL:Ifoster@hermanson.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 regulating 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 /> comp i ith the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> � <br /> 1' d._ 0,..___=' 11/14/19E I Orn <br /> 0 'n,/Aut •e I •� gnature Date (Revised 1/11/2019) Page 1-Application <br /> .4 <br />