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EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> •; It a , . .k� PR *CT SITE" 1 AIVIATIO Mk <br /> PROJECT ADDRESS: 2731 Wetmore A Ve, EL 3&4 BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTR C. %i. a ADDITION ElTENANT IMPROVMENT ❑ REMODEL _--- ---`,..,\ <br /> BUILDING USE: CI ❑,r. NHOUSE Ii DUPLEX Cl ❑ MULTI-FAMILY-#OF UNITS.' E CO ERCIAL <br /> FILE , ,; CAL APPLE TON I NFORMAT I 14 ,," p t e,,l IWOR„ a,, <br /> CONTRACT PRICE OF WORK eB"0d�� ASSOCIATED BUILDING PERMIT# a lic le t191•-U20 / <br /> $ \ (ifPP ) <br /> DESCRIBE SCOPE OF W*IRK:` .0 '�' LD titc 11 ` v+ �jem ,tj,(,jjh t • , <br /> Tenant Improvement: memo, r ch Circuits, Ofice Power, _Ighting, Raceways or , tc. <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service El Feeder ❑✓ Circuits-#:30 El Complete Re-wire <br /> LOW VOLTAGE WORK? ElNO ❑YES-#of Devices: <br /> SELECT SCOPE(REQUIRED): El Data ❑ Intercom ❑Thermostat ❑Audio El Secure Access El Security System <br /> El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑Other(List All): <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: Xi, <br /> O O YES--See Below&Pg.2 <br /> By checking this box, I am stating that I have read and understand all of WAC 296-46B-90ected 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. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: O EYES-See Below&Pg.3 <br /> Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on b dings 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 /> C. , ACT IHF' A <br /> OWNER NAME: Superstar Corporation TENANT BUSINESS NAME(If Commercial): rUn1C0 <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Preferred Electric <br /> CONTRACTOR ADDRESS: STREET Box 77120 <br /> CITY Seattle STATE WA ZIP 98177 <br /> CONTRACTOR PHONE:26.499.6691 CONTRACTOR EMAIL:)eff@preferredelectric.us <br /> CONTRACTOR LIC.#(REQUIRED):F'KI_F-EEI92 I'L CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 04/656 <br /> PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR EOTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.512.1859 <br /> Scott Taylor <br /> CONTACT EMAIL:Scott@ preferredelectric.us <br /> 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 <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 or <br /> 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 <br /> comply with the State Contractors Law 18 27 RCW and 296 200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> 9/17/19 E I q'li - I \/fl <br /> rlwner/0 n}hnri�a`i AnanT Rinna}nro '� data /Raviced 1F1�/2M 91 Pann 1_A nnliraTinn <br />