1622 E MARINE VIEW DR BUILDING C 2022-08-29

• • `; ELECTRICAL PERMIT APPLICATION OF EVERETT CITY00CEVERET S 32DARE STREETT,EVERETT WAERVICES 98201 WASH{NGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwagov/permits &ny.. rt arI.''i0.... - ,714rS_. iatrionat PROJECT ADDRESS: 1622 E Marine View Drive Build. C BUILDING AREA: 4579 ft PROJECT TYPE: IZJ NEW CONSTRUCTION El ADDITION ❑TENANT IMPROVMENT ❑REMODEL sq BUILDING USE: ❑SFR ®TOWNHOUSE ®DUPLEX ❑ADU MULTI-FAMILY-#OF UNITS:4 f, :;tt ii > ®COMMERCIAL .4- ,_ A��'�.s..va . R#',j .;g`i f �d��f t. aS. ,�rS74'..� .... CONTRACT PRICE OF WORK:$ $48085 ASSOCIATED BUILDING PERMIT#(if applicable): � DESCRIBE SCOPE OF WORK: Wire Wire line volt only for 4 unit apartment building. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ®✓ YES-Select Scope: LI Service 0 Feeder El Circuits-#:All ❑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): IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: (4 NO • YES--See Below&Pg.2 (l 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: ENO DYES-See Below&Pg. 3 II 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: Riverview I, LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10900 NE 8th St, Suite 1200 c,N Bellevue STATE WA zip 98004 OWNER PHONE:425-453-9551 'OWNER EMAIL: CONTRACTOR NAME: Edison Electric Inc CONTRACTOR ADDRESS: STREET 2417 104th St Ct S CITY Lakewood STATE WA ZIP 98499 CONTRACTOR PHONE:2535830700 'CONTRACTOR EMAIL:cheryle@edisonelectric.corn CONTRACTOR LIC.#(REQUIRED):EDISOE1044BR 'CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑✓, CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253 878 2218 Tyler Dinwiddie CONTACT EMAIL:Tyler@edisonelectric.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#: E - 2OwnerfAuthorized Agent Signature Date (Revised 1/11/2019) Page 1-Application