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

• • ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT.WA 98201 wnshfurr (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everattwa.govfpermits _PEOJECTSITE INFORMATION :,,:, PROJECT ADDRESS: 906 SE Everett Mall Way #200 BUILDING AREA: 2500 sq ft PROJECT TYPE: CI NEW CONSTRUCTION ❑ADDITION ✓O TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELECT +CA►L APPLICATION INFORMATION & DESCRIPTION OF IBC""'' `` "" ;r CONTRACT PRICE OF WORK:$ 250 'ASSOCIATED BUILDING PERMIT#(if applicable): 6'�to t�� 1 DESCRIBE SCOPE OF WORK: 1 Connections to circuits by others. Snapping together 19 floor to ceiling modular furniture feeds. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO El YES-Select Scope: n Service El Feeder ❑Circuits-#: 19 ❑Complete Re-wire LOW VOLTAGE WORK? 0 NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data El Intercom ❑Thermostat El Audio El Secure Access El 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. El Other(List All): CODE COMPLIANCE 'fit_._ .. ... .. . , IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑NO wi YES--See Below&Pg.2 JBy 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 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: I✓]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: The Little Red Schoolhouse TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 906 SE Everett Mall Way#200 env Everett STATE WA ZIP 98208 OWNER PHONE:2064022759 OWNER EMAIL: CONTRACTOR NAME: Brady Electric CONTRACTOR ADDRESS: STREei PMB 8461 PO BOX 257 CITY Olympia STATE WA zli, 98507 CONTRACTOR PHONE: CONTRACTOR EMAIL: f ,1 CONTRACTOR LIC.#(REQUIRED):BRADYEL824OS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: DOWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-218-3724 Michael Brady CONTACT EMAIL:Brady-electric©outlook.com AGREEtv1ENT 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 l comply with the State Contrac `rs Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: E10116- DO& Owner/Authorized A 't Si e Date (Revised 1/11/2019) Page 1-Application