10312 EVERGREEN WAY SONIC 2023-07-31

E[OCTRICAL PERMIT APPLI�TION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 (E) PermitServices@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:10312 Evergreen Way 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: $1,500 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: Install (2) set of flush mounted internally illuminated LED channel letters w/ remote power supply. Install 2 set of flush mounted internally illuminated LED channel letters w/ remote power supply. Install (1) flush mounted halo lit LED logo cabinet w/ remote power supply. Install (1) flush mounted halo lit LED cherry logo w/ remote power supply. Install (1) each internally illuminated directional 'Enter' & 'Exit' signs THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? R] NO ❑ YES - Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re -wire LOW VOLTAGE WORK? ❑ NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ 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. F1 Other (List All): Signs CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: El NO YES -- See Below & Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 29646B-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 ES -See Below & Pg. ❑ 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:S R KLEIN FISH -ON INVESTMEr TENANT BUSINESS NAME (If Commercial): SONIC OWNER MAILING ADDRESS: sTREETPO BOX 3830, EVERETT ,IT, Everett STATE WA zip 98213 OWNER PHONE:(425) 355-7500 1OWNER EMAIL: CONTRACTOR NAME:City Lights Sign Co CONTRACTOR ADDRESS: STREET902 NW 49th St Seattle STATE WA z►P 98107 CONTRACTOR PHONE:206-789-4747 CONTRACTOR EMAIL:sarah@citylightssign.com CONTRACTOR LIC. #(REQUIRED):ClTYL 099DG ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 41415 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR OTHER (Please Specify) Agent CONTACT NAME: Sarah Terry CONTACT PHONE:206-789-4747 CONTACT EMAIL:sarah@citylightssign.com AGREEMENT: 1 hereby certify that 1 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 / am authorized by the owner of this properly 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 #: 08/25/22 E c' fir.. Owner/Authorized Agent Signature to (Revised 41512022) Page 1-Application i