2939 COLBY AVE EVERETT MUSEUM 2023-09-26

ELECTRICAL POIMIT & FIRE ALARM PlliMIT APPLICATION flij*/„„,—A CITY OF EVERETT PERMIT SERVI 'ES 3200 CEDAR STREET, EVERETT, WA 98201 '' (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2939 Colby Ave PROJECT TYPE: (❑INEW CONSTRUCTION ❑[ADDITION OTENANT IMPROVMENT la REMODEL BUILDING USE: ❑ SFR r❑ TOWNHOUSEFiff DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: [COMMERCIAL BUILDING AREA: 8,000 sq ft ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 15,000.00 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ❑ NO 0 YES-#OF DEVICES: 46 IS THIS A FIRE ALARM PERMIT? ❑ O ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Low voltage fire alarm install through out the 2 floors of the building. THIS SECTION APPLIES TO ALL EDUCATION, INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: t[ 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: EllPursuant 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Everett Museum of History Trust TENANT BUSINESS NAME(If Commercial): Everett Museum of History OWNER MAILING ADDRESS: STREET 2939 Colby Ave _ ciTy Everett STATE Wa ZIP 98201 OWNER PHONE: OWNER EMAIL: Info@everettmuseum.org CONTRACTOR NAME: SeaCOm Cabling CONTRACTOR ADDRESS: STREET 3014 Hoyt Ave CITY Everett STATE Wa ZIP 98201 CONTRACTOR PHONE:425-317-8259 CONTRACTOR EMAIL: KOlsen@CallseaCom.COm CONTRACTOR LIC.#(REQUIRED):SEACOCI944DO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053655 PRIMARY CONTACT: El OWNER CONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-317-8259 Ken Olsen CONTACT EMAIL: Kolsen@Callseacom.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 i PERMIT# fA ner/Authorized gent Signature Date (Revised 10/30/2018) /9