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3002 COLBY AVE 2022-01-11
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3002 COLBY AVE 2022-01-11
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Last modified
1/11/2022 3:26:38 PM
Creation date
1/11/2022 3:26:27 PM
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Address Document
Street Name
COLBY AVE
Street Number
3002
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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 I(E)everetteps�everettwagov 1 www.everettwa.gov/permits <br /> WASHINGTON <br /> PROJECT SITE,INFORMATIQN <br /> PROJECT ADDRESS: 3002 Colby Ave Everett, WA 98201 BUILDING AREA: vat-t v sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> EL.ECTRICAIItAPPLICATION INFORMATION &DESCRIPTION OF.-WORK <br /> CONTRACT PRICE OF WORK:$ 1483.00 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> installing cellular communicator replaces POTs lines for existing fire alarm system. <br /> Monitoring, testing and maintenance provided by Sonitrol Pacific <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? []NO ❑YES-Select Scope: Cl Service ❑ Feeder ❑Circuits-#: El Complete Re-wire <br /> LOW VOLTAGE WORK? ❑NO 0 YES-#of Devices:23 <br /> SELECT SCOPE(REQUIRED): El Data ❑Intercom ❑Thermostat ❑Audio Cl Secure Access El Security System <br /> ✓�]Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑Other(List All): <br /> CODE,c MPE4AJCE ' ` `... . <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: CI NO Q YES--See Below&Pg.2 <br /> 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 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:ENO EYES-See Below&Pg.3 <br /> Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease <br /> without the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CON;TACT4INFORMATION . ... <br /> OWNER NAME: Mark Riechlin TENANT BUSINESS NAME(If Commercial):3006 Colby Building LLC <br /> OWNER MAILING ADDRESS: STREET 1806 Marine Dr NE <br /> cm- Marysville STATE WA ZIP 98271 <br /> OWNER PHONE:206-510-2548 OWNER EMAIL:lObsang@dargeyenterpriSeS.COm <br /> CONTRACTOR NAME: Sonitrol Pacific <br /> CONTRACTOR ADDRESS: sTREET2221 California ST <br /> crry Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:360-355`2188 CONTRACTOR EMAIL:MDavis@soundsecurity.biz <br /> CONTRACTOR LIC.#(REQUIRED):SONITP*948D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):13143 <br /> PRIMARY CONTACT: [DOWNER (✓CONTRACTOR ['OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-355-2188 <br /> Matt Davis CONTACT EMAIL:MDaViS@soundsecurity.biz <br /> AGF_EM.€ENT 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> 21e, E . D. L - l 10 <br /> Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application <br />
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