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ECTRICAL PERMIT APPLIONTION <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: 1622 East Marine View Dr. 6LDG G BUILDING AREA: 9,292 sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: fl SFR ❑ TOWNHOUSE ❑ DUPLEX ADU C MULTI-FAMILY-#OF UNITS:4 ❑ COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ 625,700.00 ASSOCIATED BUILDING PERMIT#(if applicable): _ <br /> DESCRIBE SCOPE OF WORK: <br /> Data Comm and fire rough in only <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑✓ NO ❑ YES-Select Scope: LI Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:60 <br /> SELECT SCOPE(REQUIRED): 0 Data ❑ Intercom E Thermostat E Audio ❑ Secure Access ❑ Security System <br /> n 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: ✓❑ NO ❑ YES--See Below&Pg. <br /> 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 <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 ❑YES-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: Riverview LLC TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 10900 NE 8th St Suite 1200 CITY STATE VV,^' <br /> A ziP 98004 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Applied Business Communications <br /> CONTRACTOR ADDRESS: STREET 13029 NE 126th PL C„., Kirkland STATE VV,^r <br /> A ziP 98034 <br /> CONTRACTOR PHONE:844-662-2266 CONTRACTOR EMAIL:ecasper©p abcomllc.com <br /> CONTRACTOR LIC.#(REQUIRED):APPLIBC843CS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052069 <br /> PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-236-9979 <br /> Eric Casper CONTACT EMAIL:ecasper©abcomllc.com <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 performance 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 State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> �Z/�/9, <br /> Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application <br />