1930 MERRILL CREEK PKY TRIDENT SEAFOODS 2021-12-17

NNW CTRICAL 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 ADDRESSb4.: 1934.Merrill Creek Parkway Everett, WA 982 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT El REMODEL BUILDING USE: El SFR ❑TOWNHOUSE El DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ❑/ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 7600.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: For the Dehumidifier - HC4500 4 80volt 3pfiase 107FLA -(1) 150amp 480volt 3phase breaker installed in the MDP panel. -(1) 150amp 480volt 3phase feeder. -(1) 200amp 480volt 3ph 3r Fused disconnect and fuses. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO ❑YES-Select Scope: El Service ✓❑ Feeder Cl Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ® NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data El Intercom ❑Thermostat ❑Audio I_1 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):Dehumidifier 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 Y 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: Trident Seafoods TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1930 B Merrill Creek Parkway CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-407-4015 OWNER EMAIL:dellyson@TridentSeafoods.com CONTRACTOR NAME: Top of The Line Electric Inc. CONTRACTOR ADDRESS: STREET 3610 Scenic DR SE c ry Auburn STATE WA ZIP 98092 CONTRACTOR PHONE:206-920-0253 CONTRACTOR EMAIL:Mark@TopofTheLineElectric.com CONTRACTOR LIC.#(REQUIRED):TOPLI*L8440A CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: [DOWNER [CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-771-2123 Mark Atchley CONTACT EMAIL:Mark@TopofTheLineElectric.com AGREEMENT:I hereby certify that 1 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 PERMIT#: 41 I .: 3ar- E �� °‘ Owner/Aut orized Agent Signature Date (Revised 1/11/2019) Page 1-Application