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OEM ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 32n0 CEDAR STREET, EVERETT. WA 98201 <br />(P)42S25T 88101(E) PermilseniPoaheverecaa.gw l vwnveverersa.gov/pennBa <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS:4425 S. 3rd Everett WA BUILDING AREA: 60,000 sqU <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT REMODEL <br />BUILDINGUSE: ❑BER []TOWNHOUSE ❑DUPLE% ❑ADU ❑MULTI -FAMILY -#OF UNITS: _ ❑✓ COMMERCIAL <br />ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br />CONTRACT PRICE OF WORK:$27,284 ASSOCIATED BUILDING PERMIT #(if applicable), <br />DESCRIBE SCOPE OF WORK: Fire Alalm Upgrade <br />Fire Alarm Upgrade <br />THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br />LINE VOLTAGE voci ❑NO ❑✓YES -Select Scope:❑Service ❑Feeder <br />❑Cimulb-#:_ <br />[]Complete <br />Rewire <br />LOW VOLTAGE WORK] ONO 171YES-#d Devices: <br />SELECT SCOPE (REOUIREDI:❑Data ❑Intercom El Thermostat El Apple []SecureAccess ❑Security System <br />❑✓ Fire Alarm - Installations under this permit only Include electrical wiring mugh-in of the system. An <br />additional Fire Alarm Permit Is required for review of device location and Installation approval. <br />❑ Cuban (List All): <br />CODE COMPLIANCE <br />IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH ANDIOR PERSONAL CARE FACILITIES: U NO YES -- see Belaw A. Pg.2 <br />By checking this box, I am stating that I have read and understood all of WAC 29646121400, selected the specific reason on page <br />2 of this application (see next page). AND Plan Review is NOT required because I meat all of the following sub sections that do rat <br />see Paga 2 require Plan Review. <br />ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: NO ✓ Es -sea Below Pp. <br />O Pursuant to RCW 19,28.261, pmpeM owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease <br />Without the proper eledrical licensing and cem6cation, or exemption. By checking this box. I am stating that I have completed and <br />See Paire3 signed the AFFIDAVIT on papa 3 of this application to receive an exemption from this licensirglcadification requirement. <br />CONTACT INFORMATION <br />OWNERNAME:ACrOWOOd Corporation TENANT BUSINESS NAME (If Commercial: <br />OWNER MAILING ADDRESS: mEET44253rd Avenue <br />.Everett Sum WA ap98203 <br />OWNER PHONE:425258-3555 <br />1 OWNER EMAIL:jpoortner@acroWOod.com <br />CONTRACTORNAME:FIre Chief Equipment <br />CONTRACTORADDRESS: mrRT14214 NE 21st Street <br />am Bellevue aT.,e WA ae98007 <br />CONTRACTOR PHONE:425393-4297 <br />CONTRAOTOREMAIL:Michaelc@fire-chief.com <br />CONTRACTOR LIC. N(NEDUIREp:FIRECCE9362D ICITY OF EVERETT BUSINESS LIC.Ni] <br />PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓OTHER(Please Specify) Assistant 0 Protect Manager <br />CONTACT NAME: <br />JenniferRemming <br />CONTACT PHONE:425 522-1269 <br />CONTACT EMAIL:jennlferr@ire-chief.com <br />sopecani <br />I E 2LA - Ck% <br />`,1/wn4 (Rated w52022J Page tAPPIIutIm <br />VA27s>LA —bog <br />a <br />L/fl/�tl7��- <br />Ow <br />AU M1OHUCA <br />nelpna r <br />Dab <br />