Laserfiche WebLink
EECTRICAL PERMIT APPLISTION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 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 Road BUILDING AREA: 49364 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: El SFR El TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ 3500 ASSOCIATED BUILDING PERMIT#(if applicable): B1909-009 <br /> DESCRIBE SCOPE OF WORK: Li <br /> We are adding Horn Strobes and Strobes to Existing Fire System <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? El NO El YES-Select Scope: ❑ Service El Feeder ❑Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? El NO 0 YES-#of Devices: 29 <br /> SELECT SCOPE(REQUIRED): El Data ❑ Intercom ❑Thermostat El Audio ❑ Secure Access ❑ Security System <br /> 0 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 /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO ❑YES--See Below&Pg. 2 <br /> LiBy 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: ONO DYES-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 /> CONTACT INFORMATION <br /> OWNER NAME: Panattoni Development TENANT BUSINESS NAME(If Commercial): Compass Canteen <br /> OWNER MAILING ADDRESS: STREET 900 SW 16th St Suite-300 <br /> CITY Renton STATE WA ZIP 98057 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Electrical Technogy LLC <br /> CONTRACTOR ADDRESS: STREET P.O Box 13889 <br /> CITY Mill Creek STATE WA ZIP 98082 <br /> CONTRACTOR PHONE: 425-405-0583 CONTRACTOR EMAIL: Chris@electro-tech.Biz <br /> CONTRACTOR LIC.#(REQUIRED): ELECTTL888OG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): #585 <br /> PRIMARY CONTACT: 'DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: Chris Davis CONTACT PHONE: 206-931-3128 <br /> CONTACT EMAIL: Chris@electro-tech.biz <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 rformance 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 Sta tractors Law 1 27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> / z/I80 E ()O1 ' I ?� <br /> Owne ed gnat / Date (Revised 1/11/2019) Page 1-Application <br />