2731 WETMORE AVE FUNKO 2022-07-28

FillECTRICAL PERMIT APPL•I4TION r 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 2731 Wetmore Ave BUILDING AREA: 1700 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS:_ ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 2000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installation of CAT6 voice/data cabling in 4th floor breakroom area THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:10 SELECT SCOPE(REQUIRED): ` Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ 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. ❑ 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 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: ❑✓ 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: FUNKO TENANT BUSINESS NAME(If Commercial): FUNKO OWNER MAILING ADDRESS: STREET 2802 Wetmore Ave ciTY Everett STATE WA ZIP 98201 OWNER PHONE:(425)783-3616 OWNER EMAIL: CONTRACTOR NAME: ZORKO ELECTRIC CONTRACTOR ADDRESS: STREET PO BOX 100 CITY DUVALL STATE WA ZIP 98019 CONTRACTOR PHONE:425-788-7710 CONTRACTOR EMAIL:kentv@zorkoelectric.com CONTRACTOR LIC.#(REQUIRED):ZORKOEI121OK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 48520 PRIMARY CONTACT: nOWNER ❑✓CONTRACTOR EOTHER(Please Specify) CONTACT NAME: I CONTACT PHONE:425-788-7710 Kent VanderWeide CONTACT EMAIL:kentv@zorkoelectric.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 rformance 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 t State Contractors La 8.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#:3/12/20 E loo v `J Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application