607 RIVERSIDE RD AMAZON 2021-04-01

— P ECTRICAL PERMIT APPLICATION 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�M@everettwa.gov I www.everettwa.gov/permits T'I a PR . ECT S pirogMA•4 iOs!; PROJECT ADDRESS: 607 Riverside Rd Ste 140 Everett WA 98201 BUILDING AREA: 121,320 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL .ELEC Rl AI APPL ,TION Nf RMATION-&DERGRI ON OF, CONTRACT PRICE OF WORK:$ 1,600 ASSOCIATED BUILDING PERMIT#(if applicable): iCk() DESCRIBE SCOPE OF WORK: Install a new 200amp temporary service THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices: 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): . ,� fit•...CODE 0110 IAA �W. : ..,max,,��„�T� �.•.. •<. .... : .. IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El 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. ► OWNER NAME: Amazon.com Service Inc. TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 410 Terry Ave N Seattle STATE WA ZIP 98109 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Olsen Electric Inc CONTRACTOR ADDRESS: sTREET325 Washington Ave S #91 CITY Kent STATE WA z,P 98032 CONTRACTOR PHONE:253-872-1905 CONTRACTOR EMAIL:tarask@OlsenelectriC.net CONTRACTOR LIC.#(REQUIRED):OLSENEI931 PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):046102 PRIMARY CONTACT: ❑OWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-872-1905 Taras Krysa CONTACT EMAIL:tarask@olsenelectric.net 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#:ER Taras Krysa 5/29/19 ` L. OS 202 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application