906 SE EVERETT MALL WAY CHILD STRIVE 2022-04-28

irli CTRICAL PERMIT APPLIIITION CITY OF EVERETT PERMIT SERVICES EVERETT 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 ADDRESS: 906 SE Everett Mall Way EMOP III/Suite 200 BUILDING AREA: 10,498 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL ELECTRICAL APILICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 15,149 / ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: // Remove and relo to 1x4 existing fixture, power connections to furniture and offices, installing switches and outlets— THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑YES-Select Scope: ❑ Service El Feeder ❑Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom El Thermostat ❑Audio ❑ 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): 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 V , 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, EYES 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/ ' cation requirement. CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(If Commercial): Childstrive OWNER MAILING ADDRESS: STREET 14 E. Casino Rd., Bldg C 7 CiTv Everett STATE _ zip 98208 OWNER PHONE:425-353-5656 OWNER EMAIL: CONTRACTOR NAME: SME Inc of Seattle CONTRACTOR ADDRESS: STREET 828 Poplar PI S CITY Seattle STATE WA ZIP 98144 CONTRACTOR PHONE:206-391-8980 CONTRACTOR EMAIL:melu@Smeincofseattle.com CONTRACTOR LIC.#(REQUIRED);SMEINS'o66DB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 030205 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-391-2141 Lynette Sedeno CONTACT EMAIL:Lynettes@smeincofseattle.com AGREEMENT I hereby certify that I have read and examined this apptioation 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 P PERMIT#: ii 7/ � � E 3c:k.o 0:4 OwtlerlAuthorised Agent Signature Date (Revised 1/11/2019) Page 4-Application