2000 TOWER ST PARKS HALL EVCC PARKS 2020-04-02

NNW IIP' I CTRICAL PERMIT APPL \TION Ate. , E V E R E T T CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2000 Tower Street BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: I SFR ❑ TOWNHOUSE El DUPLEX I I ADU ❑ MULTI-FAMILY-#OFS: 7COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTI N OF WORK CONTRACT PRICE OF WORK: $ 2200 ASSOCIATED BUILDING PERMIT#(if appli ble): DESCRIBE SCOPE OF WORK: Replace Boiler and Pump. (electrical connections) THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ✓❑YES-Select Scope: El Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO n YES-#of Devices:2? SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio El Secure Access ❑ Security System ❑ 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. ❑ Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: P 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: NO EYES-See Below&Pg. 3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work o bur: