3003 W CASINO RD BLDG 40-92 2023-12-06

ENE ELECTRICAL PERMIT APPLI ATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits P µ . ,ICIIITI 'IING ,.. PROJECT ADDRESS: 3003 W Casino Road Everett WA P,Vti - rjJ ILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL EL E, AL APPLICATION IN .. N.. CONTRACT PRICE OF WORK:$ 500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installation of cord and plug on griddle. -kO_CA 1. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: CI Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#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 CON PLIANCIC;a., IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: NO ❑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: ENO EYES-See Below&Pg. 3 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: Boeing TENANT BUSINESS NAME(If Commercial): Compass OWNER MAILING ADDRESS: STREET 3003 W Casino Road CITY Everett STATE Wa ZIP 98204 OWNER PHONE:2067951250 OWNER EMAIL:Deborah.Breuler@Compass-usa.COm CONTRACTOR NAME: Hobart Service CONTRACTOR ADDRESS: sTREET8661 154th Ave NE CITY Everett STATE WA ZIP 98052 CONTRACTOR PHONE:425-881-31 1 1 CONTRACTOR EMAIL:SeattleWa.Service@hobartserviCe.Com CONTRACTOR LIC.#(REQUIRED):HOBAR**886BF _CITY OF EVERETT BUSINESS LIC.#(REQUIRED):045571 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-247-4664 Peter Moreno CONTACT EMAIL:peter.morenojr@hobartservice.com AGREEMENT I hereby certify that/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 PERMIT#: ( _r p er, 4 j/f��y9, 7/25/2019 E 1 O� — �(CJ�J Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application