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'LECTRICAL PERMIT APP CATION <br /> EVERETT 32 CITY OF EVERETT PERMIT SERVICES <br /> 00 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT;SITE INFORMATION <br /> PROJECT ADDRESS: 607 Riverside Rd BUILDING AREA: 5,800 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑,,�IADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> El USE: ❑SFR T9 JHOUSE�Li DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> E .ECK A APP►LIC ITIION,IINIF RMATION & IiI ESCRIPTIION `WORK <br /> CONTRACT PRICE OF WOR 75,000.00 i ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: _ <br /> 400A 3p breaker fol existing servegear; 400A MDP; (2) 200A subpanel; step down xfmr; circuits for <br /> hvac, IT, hwt, switch, -cpacles, etc.; recircuit warehouse lights to new panel; 60A feeder for xfmr; <br /> 100A panel; occ sensors; gfi's; LED lights; new tenant meter. <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service El Feeder ❑✓ Circuits-#:80 ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: <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: El NO LJ 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: ENO 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 this licensing/certification requirement. <br /> • �� CONTAOT1- ORMATION <br /> OWNER NAME: Panattoni Development Compatl TENANT BUSINESS NAME(If Commercial): Compass Canteen-Glacier Peak <br /> OWNER MAILING ADDRESS: STREET 900 SW 16th St,Suite 330 ciTy Renton STATE ••,^' <br /> A Zip 98057 <br /> OWNER PHONE:206-248-0280 OWNER EMAIL:dbeik@panattoni.com <br /> CONTRACTOR NAME: Mastercraft Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET206 Frontage Rd N,Suite A2 CITY Pacific STATE �'r,/�/ <br /> A zip 98047 <br /> CONTRACTOR PHONE:253-737-4367 CONTRACTOR EMAIL:Carlosc@Mastercraftinc.com <br /> fi' <br /> CONTRACTOR LIC.#(REQUIRED):MASTEEI127B8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0557°4 <br /> PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:509-302-8218 <br /> Carlos Castaneda CONTACT EMAIL:Carlosc@Mastercraftinc.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 /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> (Meths (, stew L 10/16/19 E <br /> Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application <br />