607 RIVERSIDE RD 110 INFARM INDOOR URBAN FARMING 2021-08-30

cLECTRICAL PERMIT APPLfCATION 041‘77 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits : , PROJECTI,SITE dINFORMATION 'y £ s° PROJECT ADDRESS: 607 Riverside Rd S� ` � BUILDING AREA: z000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL .., , ELECTRICAL APPLICATIO INFORMATION.&„'DESCRIPTION OF WORKe CONTRACT PRICE OF WORK:$ 9000 ASSOCIATED BUILDING PERMIT#(if applicable : N/A DESCRIBE SCOPE OF WORK: 2 O DCD'Z Install feeder and 150A MLO panel from existing 480v panel THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO 0 YES-Select Scope: ❑ Service El Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? 0 NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat El Audio ❑Secure Access El 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: ElNO ❑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. CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(If Commercial): ev ment OWNER MAILING ADDRESS: STREET 900 SW 16th st#330 " Ca52—W\ ciry Renton STATE WA Zip 98057 OWNER PHONE:206-248-0280 OWNER EMAIL: CONTRACTOR NAME: Mastercraft Electric, Inc. CONTRACTOR ADDRESS: sTREET206 Frontage Rd. N Suite A2 CITY Pacific STATE WA Zip 98047 CONTRACTOR PHONE:253-737-4367 CONTRACTOR EMAIL:Carlosc@Mastercraftinc,com CONTRACTOR LIC.#(REQUIRED):MASTEEI127B8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055704 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-737-4367 Carlos Castaneda CONTACT EMAIL:Carlosc@Mastercraftinc.com AGREEMENT:I hereby certify that/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 --DoccuSigned by: PERMIT#: CzuAhs GA-Sl A.liu-iA. 3/9/2020 C '� ^ - `--4FBD8217C71645F... L ��o Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application