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roAli 0.ECTRICAL PERMIT APPLSATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASH INGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2731 Wetmore Ave BUILDING AREA: 2400 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ 24750 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> Installation of CAT6 voice/data cabling and IDF infrastructure <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑✓ NO ❑ -Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ❑ NO Q YES-#of Devices: 129 <br /> SELECT SCOPE(REQUIRED): ❑✓ Data rmostat ❑ Audio ❑ Secure Access ❑ Security System <br /> ❑ 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 /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO ❑ 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 /> L 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: ONO EYES-See Below&Pg. 3 <br /> Pursuant to ROW ':9.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease <br /> without the p:oper 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: FUNKO TENANT BUSINESS NAME(If Commercial): FUNKO <br /> OWNER MAILING ADDRESS: STREET 2802 Wetmore Ave <br /> cm' Everett STATE WA ziP 98201 <br /> OWNER PHONE:(425)783-3616 OWNER EMAIL: <br /> CONTRACTOR NAME: ZORKO ELECTRIC <br /> CONTRACTOR ADDRESS: STREET PO BOX 100 <br /> CITY DUVALL STATE WA ziP 98019 <br /> CONTRACTOR PHONE:425-788-7710 CONTRACTOR EMAIL:kentv@zorkoelectric.com <br /> CONTRACTOR LIC.#(REQUIRED):LORKOE11210K CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 48520 <br /> PRIMARY CONTACT: ElOWNER ❑✓CONTRACTOR nOTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-788-7710 <br /> Kent VanderWeide CONTACT EMAIL:kentv@zorkoelectric.com <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 .ate Contr orsr aw 18.2 2CW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> 1/13/20 E G X�t/ \. - 0 <br /> (0 <br /> Owner/Authorized Ag nt Signat re Date (Revised 1/11/2019) Page 1-Application <br />