607 RIVERSIDE RD COMPASS CANTEEN VENDING 2021-02-24

�ECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 OLT (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.gov/permits fd01' t\v'Cv4.r PROJECT SITE INFORMATION PROJECT ADDRESS: eaway RD , Everett WA 98203 BUILDING AREA: 20,000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: Cl SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL ELECTRICAL.APPLICATION INFORMATION &DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 13,000 ASSOCIATED BUILDING PERMIT#(if applicable): Q r t DESCRIBE SCOPE OF WORK: �� 1� 44 low voltage ccty THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) T7 tr di--LLj LINE VOLTAGE WORK? ✓❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder El Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:23 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑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: © 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 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: TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SeaCom Cabling INC CONTRACTOR ADDRESS: STREET 3014 Hoyt Ave CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-317-8259 CONTRACTOR EMAIL:RLOWERY@CALLSEACOM.COM CONTRACTOR LIC.#(REQUIRED):SEACOCI944DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53655 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-317-8259 Randy Lowery CONTACT EMAIL:RLOWERY@CALLSEACOM.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#: .-,s.ay Raney 4-s-2o2o 77:0 Randy Lowery E 2(�b - DPI (0 ab�a�,z��,so,��°"`�°`�`°'�°'"` Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application