1930 MERRILL CREEK PKY BASE FILE 2021-01-04

• ELECTRICAL PERMIT APPLICATION maitalifr CITY OF EVERETT PERMIT SERVICES ` r EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wwwzeverettwagovfpermits • PROJECT ADDRESS. 1930 MERRILL CREEK PARKWAY BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT El REMODEL BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX ❑ADU D MULTI-FAMILY-#OF UNITS: ©COMMERCIAL CONTRACT PRICE OF WORK:$ 131,364 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORD ADDING FEEDERS, (1)400A ANDI2)175A IN SUITE A TO SEPERATE METERS OF EXISITING SPACE, 'THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ❑YES-Select Scope: El Service ©Feeder El Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑NO El YES-#of Devices:, SELECT SCOPE(REQUIRED): Cl Data El Intercom El Thermostat El 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:, El Other(List Ail)- - v>a uy». x 1i„ dlY�1 THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: NO YES--See Below&Pg 2 E 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:WJNO LIVES-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. -OWNER NAME: TENANT BUSINESS NAME(If Commercial): SEAWAY TENANTS IN COMMON OWNER MAILING ADDRESS: STREET PO BOX 562 cirr LAKE BLUFF STATE IL zip 60044 OWNER PHONE. OWNER EMAIL:AD.ENT.COMCAST.NET CONTRACTOR NAME: SME INC OF SEATTLE CONTRACTOR ADDRESS; STREET828 POPLAR PL S: CITY SEATTLE STATE WA ZIP 98144 CONTRACTOR.PHONE:206.329 2040 CONTRACTOR EMAIL:Lynettes@smeincofseattle.com CONTRACTOR LIC.*(REQUIRED):SMEINS*066DB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):030205 PRIMARY CONTACT: DOWNER ©CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.391.8980 MEL U RBANOZO:'CONTACTEMAIL:MELD@SMEINCOFSEATTLE.COM AGREEMENT:I hereby cerb7y that I have read and examined th gopplcatkmmtelfhowthe same to be true;attatconvot Ail 'ACplYNtaleAt Wan and pirogi s tiielriftiE 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 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 1tt27 RCW and 296,200 WAC, t tyAyf.Everett Official Use Only PERMIT#:" ?//rq E C)c:k er/Authorized Agent Signature Date 9 g iet4ig.irttl$20119" Page 14pp1iTon