2026 W CASINO RD CARAVAN OUTFITTER 2021-11-01

az OECTRICAL PERMIT APPLiATION 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: 2026 W Casino Rd BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: El SFR El TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 800 ASSOCIATED BUILDING PERMIT#(if applicable): �!J\,..A.A lft 2. DESCRIBE SCOPE OF WORK: Install qty(1)5'-4"H x 4'-4"W single-face illuminated cabinet display. Construct 120volt/20 amp dedicated sign supply circuit from panel box to storefront Connect sign to circuit. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑ YES-Select Scope: El Service ❑ Feeder ❑ Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? ❑ NO El 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: 7 NO ❑ YES--See Below&Pg.2 n 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: ENO 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: TOUAREG PROPERTIES LLC TENANT BUSINESS NAME(If Commercial):Caravan Outfitter OWNER MAILING ADDRESS: SWEET 24325 HWY 99 CITY Edmonds STATE WA ZIP 98026 OWNER PHONE:206-349-831 O OWNER EMAIL:kurtc@campbellautogroup.com CONTRACTOR NAME: Shoreline Sign & Awning CONTRACTOR ADDRESS: STREET12101 Huckleberry Lane CITY Arlington STATE WA ZIP 98223 CONTRACTOR PHONE:360-435-2013 CONTRACTOR EMAIL:mallory@shorelinesign.com CONTRACTOR LIC.#(REQUIRED):SHORESA9821 W CITY OF EVERETT BUSINESS LIC.#(REQUIRED):40921 PRIMARY CONTACT: OWNER 000NTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-435-2013 Mallory Potter CONTACT EMAIL:mallory@shorelinesign.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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: 11-6-19 E n c � � c 7 Owner/Auth rued Agent Signature Date (Revised 1/11/2019) Page 1-Application