1203 SE EVERETT MALL WAY PETCO 2021-11-02

•ECTRICAL PERMIT APPLATION EVERETT CITY OF EVERETT PERMIT SERVIC 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 l FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1203 SE EVERETT MALL WAY BUILDING AREA: 2500 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 5000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: FIRE ALARM CONTROL PANEL HAS DIED AND NEEDS TO BE REPLACED. REPLACE WITH NEW FIRE ALARM PANEL THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ,❑ YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices: 1 SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom thermostat ❑ Audio ❑ Secure Access ❑ Security System 0 Fire Alar - Installations nder this permit only include electrical wiring rough-in of the system. An additional Fire Alarm Perm! red 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 ❑ 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: ENO DYES-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: PETCO TENANT BUSINESS NAME(If Commercial): PETCO#0244 OWNER MAILING ADDRESS: STREET 1203 SE EVERETT MALL WAY aTv EVERETT STATE WA Z,P 98208 OWNER PHONE:425-290-6533 OWNER EMAIL: CONTRACTOR NAME: E-SQUARED SYSTEMS LLC CONTRACTOR ADDRESS: STREET PO BOX 731227 oTY PUYALLUP STATE WA ZIP CONTRACTOR PHONE:253-284-3707 CONTRACTOR EMAIL:LINDSEYL@E2SYSTEMSLLC.COM CONTRACTOR LIC.#(REQUIRED):ESOUASL963BR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 43598 PRIMARY CONTACT: OWNER ]CONTRACTOR UOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-686-6057 LINDSEY LESLIE CONTACT EMAIL:LINDSEYL@E2SYSTEMSLLC.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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only Digitally signed by LINDSEY LESLIE PERMIT#: LINDSEY LESLIE DN D=�S /� ^ t E=LINDSEYL@ESVSTEMSLLCLINDS E / <_. / `. L 3 O-E-SaUARED VSTEUS,CN=LINDSEV LESLIE fO'/Y`1 J\ L v� Date:2023.n.230818E. roP 11-23-2020 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application