2721 WETMORE AVE MARQUEE APARTMENTS 2023-06-28

• ELECTRICAL PERMIT APPLICATION 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: f.)7 j ivir t(? /ve BUILDING AREA: 22C/4-)L} sq ft PROJECT TYPE: NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU [MULTI-FAMILY-#OF UNITS:7 7 ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION,OF WORK • CONTRACT PRICE OF WORK:$ rii �OV ASSOCIATED BUILDING PERMIT#(if applicable): / /e// DESCRIBE SCOPE OF WORK: ,,�/G-= ' t, fv THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? Cl NO [ (ES-Select Scope:E Service El Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom El Thermostat El Audio El Secure Access ❑Security System El 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): CODECOMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 171--1VO El 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: x❑NO EYES-See Below&Pg.3 I I 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: TENANT BUSINESS NAME(If Commercial): 1047 -/ ;,bar • `ze t�7--P -11L(. Y P OWNER MAILING ADDRESS: STREET 2- `" 7 e o kvbr- /3—C1 t CITY Et. VI STATE rLr ZIP ,�0 OWNER PHONE •Jf- Q ( OWNER EMAIL: CONTRACTOR NAME: `/iu ' `f } )etyr4t C'OArt-Ac rk, , t L c_ CONTRACTOR ADDRESS: STREET P. 0 r vac ( 3 CITY 1 V\AA.v�A<il lam` STATE w Q n ZIP cis 49-9 0 CONTRACTOR PHONE: /?S. "-7(0 S36 j CONTRACTOR EMAIL: • 1`JCS k :Le L7K-+L e C .,• - CONTRACTOR LIC.#(REQUIRED): )v = `L�' J.c CITY O EVERETT BUSINESS LIC.#(REQUIRED): �S-(a O tS 3 b 3 PRIMARY CONTACT: DOWNER EONTRACTOR ['OTHER(Please Specify) CONTACT NAME:rS.c '`1 CONTACT PHONE: (�,Z - -7 lv U _ s'3 L . J S C-T CONTACT EMAIL: SSG � r ib e-sa_ tL • - O. ,ti..►q ,� �cr �.. AGREEMENT:I hereby certify that I have read and examined this application and know thame to be true and correct.All provisions of laws and ordina s 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#: _2U z o E 2o Owner/ thorized Ag nature Date (Revised 1/11/2019) Page 1-Application