8925 AIRPORT RD MUKILTEO SCHOOL DISTRICT 2021-09-22

Imo Ira •CTRICAL PERMIT APPLTION 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: 8925 Airport Rd, Everett, WA 98204 ,BUILDING AREA: 200°° sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELECTRICAL APPLICATIION INFORMATION & DESCRIPTION.OF WORK CONTRACT PRICE OF WORK: $ 8000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installing new circuits for shop equipment in the bus repair shop. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LiNE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑✓ Feeder ❑Circuits-#:4 ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom Cl 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): CORE COMPLIANCE; IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO ❑YES--See Below&Pg.2 t✓ By checking this box, I am stating that I have read and understand all of WAC 296-48B-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 ❑YES-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 electricai 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: Mukilteo SD No.6 TENANT BUSINESS NAME(If Comme clal): , OWNER MAILING ADDRESS: STREET 9401 Sharon Drive r _ CITY Everett STATE WA ZIP 98204 OWNER PHONE:425-356-1274 OWNER EMAIL:GomezFD@mukilteo.wednet.edu CONTRACTOR NAME: Bonner Electric CONTRACTOR ADDRESS: STREET1419 Dike Road CITY Mount Vernon STATE WA ZIP 98273 CONTRACTOR PHONE:360.899 9540 CONTRACTOR EMAIL:brad@bennerec,com CONTRACTOR LIC.#(REQUIRED).'-;',)0101\/. 016-tt_ok CITY OF EVERETT BUSINESS LiC.#(REQUIRED) Swo l PRIMARY CONTACT: DOWNER ❑CONTRACTOR ['OTHER(Please Specify) Engineer CONTACT NAME: CONTACT PHONE:253-922-0446 Scott l l} Watling CONTACT EMAIL:scott.watling@bceengineers.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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC, City of Everett Official Use Only 1 wt.*,ignetlbySconWa,M1ng PERMIT#: nNCue. �+ Scott Watling W" EnlBnnks'NC'CN=Soon �dzoza.n9,6„02,: 9/16/2020 E caCt c) 3 ner thorized Agent Signature Date (Revised 1/11/2019) Page 1-Application