3003 W CASINO RD BLDG 40-51 2023-12-06

LOCTRICAL PERMIT APPLIATION 4477 CITY OF EVERETT PERMIT SERVICES 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: 3003 W Casino Rd, Everett WA 98204 BUILDING AREA: 40-51 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: Li SFR Li TOWNHOUSE Ll DUPLEX LI ADU LJ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 40,000.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Demo Existing Piping and Electrical and Reinstall updated controls THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO El YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: CI Complete Re wire LOW VOLTAGE WORK? ✓ NO ElYES-#of Devices: SELECT SCOPE(REQUIRED): El 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. ❑ Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: Q NO El YES--See Below&Pg.2 i i By checking this box, !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 EYES-See Below&Pg. 3 n Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale,or lease U 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: Boeing Company - Everett TENANT BUSINESS NAMF(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: !OWNER EMAIL: CONTRACTOR NAME: Dunston Bradley Industrial Inc CONTRACTOR ADDRESS: STREET5302 S 2nd Ave LVC.Cll v/A 9-"-' CITY STATE ZIP CONTRACTOR PHONE:206-718-8823 CONTRACTOR EMAIL:Emily@dunstonbradley.com CONTRACTOR LIC.#(REQUIRED):DUNSTB199140 CITY OF EVERETT BUSINESS LTC.#(REQUIRED):039142 PRIMARY CONTACT: DOWNER COONTRAC T OR ❑OTHER(Please Specify) CONTACT NAME:Emily Liger CONTACT PHONE:425-308-2336 CONTACT EMAIL:Emily@dunstonbradley.com AGREEMENT:I 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 I am authorized by the owner of this property to perform the work for which application is made and I comply vyith lthe State Contra tors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only - IPERMIT #: 4/2/2019 IOwtnq, horized Agent gnatu e/ Date (Revised 1/11/2019) Page 1-Application