1200 MERRILL CREEK PKY KETTLE CUISINE 2021-04-01

• ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTDN (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps®everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION _ PROJECT ADDRESS: 1200 Merrill Creek Parkway BUILDING AREA: N/A sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION El TENANT IMPROVMENT 0 REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: D COMMERCIAL ._ ELECTRICAL APPLICATION INFORMATION 44-wasolutroworairoroci CONTRACT PRICE OF WORK:$ 26 000.00 ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIBE SCOPE OF WORK: New 480v, 3 ph 60A feed with Disconnect to a new 45 KVA transformer to a new 150A MB 208/120v 150A MB 208/120v panel-or R D Kitchen remodel THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ✓l YES W Select Scope:❑Service ✓❑Feeder ✓❑Circuits-#:10 ❑Complete Re-wire _ LOW VOLTAGE WORK? 0 NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED). ❑Data ❑Intercom El Thermostat ❑Audio El Secure Access El 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. 0 Other(List All). CODE COMPLIANCE;:,. " ' IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑NO ❑YES—See Below&Pg.2 I 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 u 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: ONO OYES-See Below&Pg.3 ❑ Pursuant to RCW 19.28,261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or tease without the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and gee Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. 'CONTA ,wt"T_° INFO TION . �7 OWNER NAME: Kettle Cuisine TENANT BUSINESS NAME(If Commercial):Kettle Cuisine OWNER MAILING ADDRESS: sTREET 1200 Merrill Creek Parkway Everett STATE WA ,98203 OWNER PHONE:(425) 248-5818 OWNER EMAIL:djanszen@kettlecuisine.com CONTRACTOR NAME: Seahurst Electric Inc CONTRACTOR ADDRESS: sTrtE~E-2915 Chestnut St. Everett sum WA ZIP 98201 CONTRACTOR PHONE:(425)258-5143 CONTRACTOR EMAIL:dleblanC@SeahUrst.COm CONTRACTOR LIC.#(REOUIRED):SEAHUEI099QN CITY OF EVERETT BUSINESS LIC.#(REQUIRED):18763 PRIMARY CONTACT: DOWNER DCONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 258-5143 Dave LeBlanc CONTACTEMAIL:dleblanC@Seahurst.Com AGREEMENT I hereby certify that l have read and examined this application and know the same to be true and correct. Alt provisions of laws end 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC City of Everett Official Use Only PERMIT#: �-,, 5-15-19 Owner/Auth Agent Signature Date (Revised 1/11/2019) Page 1-ApplicatIon