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

1121 E'CTRICAL PERMIT APPLI TION 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@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 622 E Marine View Drive Build. G BUILDING AREA: 9292 sq ft PROJECT TYPE: ✓❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ✓❑ MULTI-FAMILY-#OF UNITS:4 ❑ COMMERCIAL ELECTRICA ,.APPLICATION INFORMATION&DESCRIPT ON OF L WORK CONTRACT PRICE OF WORK:$ $48085 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 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: ❑✓ Service ✓❑ Feeder ✓❑ 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): CODE COMPLIANCE ��,, IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: LJJ 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: ONO DYES-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. N A 7•INFORMATION OWNER NAME: Riverview I, LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10900 NE 8th St, Suite 1200 CITY Bellevue STATE WA ZIP 98004 OWNER PHONE:425-453-9551 OWNER EMAIL: CONTRACTOR NAME: Edison Electric Inc CONTRACTOR ADDRESS: STREET2417 104th St Ct S f� CITY Lakewood STATE WA rzr 9— CONTRACTOR PHONE:2535830700 CONTRACTOR EMAIL:cheryle@edisonelectric.com CONTRACTOR LIC.#(REQUIRED):EDISOEI044BR CITY OF EVERETT BUSINESS LIC.#(RE IRED): See receipt PRIMARY CONTACT: DOWNER ❑✓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#: Owner/Authorizbd Agent Signature Date (Revised 1/11/2019) Page 1-Application