2303 PACIFIC AVE JMC CABINETS 2021-09-07

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@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2303 Pacific Ave. BUILDING AREA: sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 950 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Add circuit for sanding/finish machine THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#:1 ❑Complete Re-wire LOW VOLTAGE WORK? ✓❑NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑ Intercom El Thermostat ❑Audio El 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: ❑✓ NO El 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 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. CONTACT INFORMATION OWNER NAME: Neil Maddy TENANT BUSINESS NAME(If Commercial):JMC Cabinets and Interiors OWNER MAILING ADDRESS: STREET 3224 McDougall Ave cnV Everett STATE WA ZIP 98201 OWNER PHONE:425-258-1204 OWNER EMAIL: CONTRACTOR NAME: Dahl Electric, Inc. CONTRACTOR ADDRESS: STREET3409 McDougall Ave cnr Everett STATE WA Z,P 98201 CONTRACTOR PHONE:425-252-1700 CONTRACTOR EMAIL:dstevens@dahlelectric.com CONTRACTOR LIC.#(REQUIRED):DAHLEE1926QD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):037-024 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-661-0511 Dan Stevens CONTACT EMAIL:dstevens@dahlelectric.com AGREEMENT:1 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 Contra ors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: E IP () ), - 0)24t Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application