8530 EVERGREEN WAY CHASE BANK 2021-02-22

Lil ECTRICAL PERMIT APPLI ATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8530 Evergreen Way Ste A BUILDING AREA: 35000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: XCOMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $2500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Remove and dispose of(2) channel letter wall signs for Chase Bank. Cap electrical. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? N EX el.eQt Scope:❑Slice ElFeeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WO ❑ NO EXES-#of Devices:2 SELECT SCOPE(REQUI . El Data ❑ Intercom ❑Thermo 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. JAl Other(List All):Sign CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: [KNO ❑ 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:X[NO 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. CONTACT INFORMATION OWNER NAME: Fred Meyer Stores TENANT BUSINESS NAME(If Commercial): Chase OWNER MAILING ADDRESS: STREET 1014 Vine St CITY Clntl STATE OH ZIP 45202 OWNER PHONE:818-775-7255 OWNER EMAIL:bruce.sayles@chase.com CONTRACTOR NAME:City Lites Neon _ V/ CONTRACTOR ADDRESS: STREET902 NW 49th ST �� ` CITY Seattle ! STATE WA ZIP 98107 CONTRACTOR PHONE:206-789-4747 CrONAACTOR EMAIL:Sarah@citylightssign.com CONTRACTOR LIC.#(REQUIRED):CITYLN1099DG 4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 41415 PRIMARY CONTACT: ❑OWNER XCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-789-4747 Sarah Terry CONTACT EMAIL:Sarah@citylightssign.com 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 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 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: (AA) , Lit I LU ate E 2o0� -40 Owner/Authorized AgentaSignature (Revised 1/11/2019) Page 1-Application