4310 COLBY AVE SPRINT ANTENNA 2022-01-14

• 0 SEM El ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 t WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@evereltwa.gov 1 www.everettwa,gevipermits PROJECT SITE INFORMATION PROJECT ADDRESS: 4310 Colby Ave BUILDING AREA: sq ft PROJECT TYPE: 0 NEW CONSTRUCTION D ADDITION 0 TENANT IMPROVMENT 0 REMODEL BUILDING USE: 0 SFR El TOWNHOUSE 0 DUPLEX 0 ADU 0 MULTI-FAMILY-#OF UNITS: E]COMMERCIAL ELECTLL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WOI :$ 20,700 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF ORK: Removing 40 amp learwire ja‘nch circuit and installing 200 amp feeder, single phase, 208V. Load study has been performekancl there is plenty of ampacity. Connected load shouldn't exceed 20 amps. Cellular carriers like 200 amp circuits. Never use it. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO E YES-Select Scope: I=11 Service El Feeder E Circuits-#:3 D Complete Re-wire LOW VOLTAGE WORK? E NO E YES-#of Devices: SELECT SCOPE(REQUIRED): CI Data El Intercom 71 Thermostat 71 Audio El Secure Access El 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 arid installation approval. El Other(List AU): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Ei NO 0 YES—See Below&Pg.2 of By thischecking i cthaitsiobnox(,sleaernnesxtat t pi naggteh)a tAINhDaviDel arenand eavnedwunderstandgaulilroefd WAGbeca u2s9e6.41 meet all°a°Il'osf et the eecftoeldl o twhi ne gs spuebc isflecc tions reasonth aot nd o pageno t 2 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: PETERSEN & HILDAHL, LLC TENANT BUSINESS NAME(If Commercial):SPRINT WIRELESS OWNER MAILING ADDRESS: STREET 2105 112th Ave NE c, Bellevue STATE WA a.98004 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: LYNX ELECTRIC, LLC CONTRACTOR ADDRESS: STREETPO BOX 1 90 CITY SOUTH C LC SLUM STATE WA 71p 98943 CONTRACTOR PHONE:206-446-8138 CONTRACTOR EMAIL:CHAD.NASON@LYNX-ELECTRIC.COM CONTRACTOR LIC.#(REOuIRED):LYNXEEL893DU CITY OF EVERETT BUSINESS LIC.#(REQUIRED):50658 PRIMARY CONTACT: DOWNER ECONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-446-8138 CHAD NASON CONTACT EMAIL:CHAD.NASON@LYNX-ELECTIREC.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 WAG. City of Everett Official Use Only PERMIT#: /—Z I—E'el -CZ'.) E 2,00 — c Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application