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imi óECTRICAL PERMIT APPCATION <br /> EVERETT CITY OF EVERETT PERMIT SERVI S <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> W,SHiNCTor+ (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE'INFORMATION <br /> PROJECT ADDRESS: 1450 80th st SW Everett, WA 98203 !BUILDING AREA: 18,000 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ✓❑ REMODEL <br /> BUILDING USE: ❑ SFR TI TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: 17 COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$ 6390.50 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> install a cellular communicator <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? 0 NP/ YES-Select Scope: ❑ S ice ❑ Feeder Ell Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ENO0 YES-#of Devices:1 <br /> SELECT SCOPE(REQUIRED): ❑ Date ❑ Intercom ❑Ther�siostat El Audio El Secure Access ❑✓ Security System <br /> 0 Firearm-Installations underlh/is permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm ,ermit is required for review of device location and installation approval. <br /> ❑ Other(List All): <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓Q NO D 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. r�; EYES YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: t NNO 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 /> CONTACT INFORMATION <br /> OWNER NAME: DJ Keene TENANT BUSINESS NAME(If Commercial): Morgan Aero Products <br /> OWNER MAILING ADDRESS: STREET 1450 80th st SW <br /> ,,T,, Everett STATE WA Z,P 98203 <br /> OWNER PHONE:425-463-8596 OWNER EMAIL:DJ@morganaero.com <br /> CONTRACTOR NAME: Sonitrol Pacific <br /> CONTRACTOR ADDRESS: STREET2221 California ST <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:253-878-2714 CONTRACTOR EMAIL:eflemming@SOUndSeCUrlty.biZ <br /> CONTRACTOR LIC.#(REQUIRED):SONITP`948D7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 13143 <br /> PRIMARY CONTACT: [OWNER ❑✓CONTRACTOR [OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-878-2714 <br /> Erin Flemming CONTACT EMAIL:eflemming©soundsecurity.biz <br /> AGREEMENT:1 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 o <br /> local law regulating construction or the performance of construction, That 1 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 /> 1 "'''� C E (9,cO � ` ,0 <br /> )wner/Authorized Agent Signature Date ! (Revised 1/11/2019) Page 1-Application <br />