2026 W CASINO RD CAMPBELL AUTO GROUP 2022-11-16

NEN WCTRICAL PERMIT APPLIV 3200TION EVERETTCITY OF EVERETT PERMIT SERVICE CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2026 W CASINO RD (BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 300 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: INSTALLATION OF FIRE ALARM TRANSMITTER 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 0 YES-#of Devices:1 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio El 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): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: Q 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 DYES-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: CAMPBELL AUTO GROUP TENANT BUSINESS NAME (If Commercial): CAMPBELL AUTO GROUP OWNER MAILING ADDRESS: STREET 243296 HWY 99 my EDMONDS STATE WA ZIP 98026 OWNER PHONE:425-774-2174 OWNER EMAIL:LIZS@CAMPBELLAUTOGROUP.COM CONTRACTOR NAME: BAY ALARM COMPANY CONTRACTOR ADDRESS: sTREET8229 44TH AVE W SUITE D CITY MUKILTEO STATE WA ZIP 98275 CONTRACTOR PHONE:425-595-3952 CONTRACTOR EMAIL:STEVEN.LONG@BAYALARM.COM CONTRACTOR LIC.#(REQUIRED):BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57430 PRIMARY CONTACT: ❑OWNER ✓CONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-595-3952 STEVEN LONG CONTACT EMAIL:STEVEN.LONG@BAYALARM.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#: E1 o1u Owner/Authorised Agent Signature Date (Revised 1/11/2019) Page 1-Application