1728 W MARINE VIEW DR BASE FILE 2021-12-10

• • MINI 1611.111 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WAS NthIGTON (P)425457-8810 I FAX 425-257-8857 I(E)everetteps@everettwa,gov www everethva.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1728 W. Marine View Dr., Everett,WA 98201 BUILDING AREA: NIA sq ft PROJECT TYPE: U NEW CONSTRUCTION D ADDITION LI TENANT IMPROVMENT 0 REMODEL BUILDING USE: 0 SFR 0 TOWNHOUSE C1 DUPLEX El ADU LI MULTI-FAMILY-#OF UNITS: 1:COMMERCIAL • ELECTRICAL APPLICATION INFORMATION it DESCRIPTION Of WORK, CONTRACT PRICE OF WORK:$ 13,550.00 ASSOCIATED BUILDING PERMIT#(If applicable): N/A DESCRIBE SCOPE OF WORK: Provide new outlets in demising wall, power to tankless water heater, new GFCI in restrooms, 2 new LED lights for task lighting, connection to new HVAC unit using existing circuitry, 15 new 2x4 LED troffers, and 2 new exit signs with battery back-up. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO El YES-Select Scope:U Service El Feeder ID Circuits-#:8 0 Complete Re-wire LOW VOLTAGE WORK? ZJ NO El YES-#of Devices: SELECT SCOPE(REQUIRED):0Data U Intercom 0 Thermostat El Audio El Secure Access 0 Security System 0 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. CI Other(List AO: „ „„CODLCOMPLIANCE , „ IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILMES: 0 NO El YES—See Below&Pg.2 - 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: EINO EYES-See Below&Pg.3 Pursuant to RCW 19.23.261,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: Port of Everett TENANT BUSINESS NAME(If Commercial):Vanilla Shell OWNER MAILING ADDRESS: mai. 1205 Craftsman Way#200 Everett srATE WA 98201 OWNER PHONE:(800)729-7678 OWNER EMAJL:NIA CONTRACTOR NAME: Seahurst Electric, Inc. CONTRACTOR ADDRESS: ,TREET2915 Chestnut Si cr„ Everett STATE WA 98201 CONTRACTOR PHONE:(425)258-1882 CONTRACTOR EMAIL:dleblanc@seahurst.com CONTRACTOR UC,#(REQUIRED)-SEAHUE10990N CITY OF EVERETT BUSINESS UC.#(REQUIRED):18763 PRIMARY CONTACT: 0 OWNER ['CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425)258-5143 Dave LeBlanc CONTACT EriAAIL:dleblafIC@SeahUTST.COM AGREEMENT.thereby certify that I have read and examined this application and know the same to be true end correct. Ail provisions of laws and ordinances governing this type of work will be completed whether specified herein or not The granting of a acme 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 Theft 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#: 7-12-19 E \,C3c, — 'DSO OwnorIAuthoifed Agent gneture Dale (Rewsed 1111/2019) Page 1-ApplIcatkin