1606 SE EVERETT MALL WAY 2022-04-28

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwa gov www.everettwa.gov/permits PIr :., ...QMATIQN PROJECT ADDRESS: 1606 SE Everett Mall Way Everett, WA 98208 BUILDING AREA: 3000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTR A L.APPLICAJVaill• ...A•ION DE$C ON OF. ‘ivit CONTRACT PRICE OF WORK:$ 6966.06 [ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: retrofit existing exterior signs from fluorescent to LED 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 ❑Thermostat El 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):exterior sign 5.4 ...,,.. , IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 0 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 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: ONO 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. • NT OWNER NAME: Sean Kochtanek TENANT BUSINESS NAME(If Commercial): Sherwin Williams OWNER MAILING ADDRESS: STREET 11410 Alameda Dr cn-y Strongsville STATE OH ZIP 44149 OWNER PHONE:440.846.4105 OWNER EMAIL:Sean.kochtank@sherwln.com CONTRACTOR NAME: Lumenal Lighting, LLC CONTRACTOR ADDRESS: STREET 21706 66th Ave W CITY Mountlake Terrace STATE WA zip 98043 CONTRACTOR PHONE:425.481.5001 CONTRACTOR EMAIL:service@lumenal.com CONTRACTOR LIC.#(REQUIRED):LUMENLL864LW CITY OF EVERETT BUSINESS LIC.#(REQUIRED): #052486 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.247.4397 Jeremy Wiseman CONTACT EMAIL:service@lumenal.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 WAC. City of Everett Official Use Only PERMIT#: 07.25.2019 . Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application