3003 W CASINO RD BLDG 40-27 2024-04-30

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WA9HINBTON (P)425-257-8810 1(E)PermitServices@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3003 West Casino Rad Everett,WA 98204 — )3LX)C�.9-O_Z-] BUILDING AREA: 200 r - 3 azro sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION []TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: Z COMMERCIAL ELECTRICAL APPLICATION INFORMATION Sr. DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$300,000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Provide power to(8)100A circuits C'L_-17 b/7 1, T. O b 1• 11 6 T. L1 7 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO Z YES-Select Scope:❑Service ❑Feeder ❑✓ Circuits-#: 8 ❑Complete Re-wire LOW VOLTAGE WORK? ENO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑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 ANDlOR PERSONAL CARE FACILITIES: ✓ NO YES--See Below&Pg.2 ElBy checking this box, I am stating that I have read and understand all of WAC 296-4613-900,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 ❑YES-See Below&Pg. ® 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:THE BOEING COMPANY TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO BOX 3707 M/C 20-59 PROPERTY TAX DEPT SEATTLE STATE WA Z,P 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:SEQUOYAH ELECTRIC LLC CONTRACTOR ADDRESS: STREET 15135 NE 92ND STREET , REDMOND STATE WA Z,P 98052 CONTRACTOR PHONE.425-814-6000 CONTRACTOR EMAIL: FSY11 CONTRACTOR LIC.#(REQUIRED):SEQUQEL977S9 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):40645 PRIMARY CONTACT: ❑OWNER [E]CONTRACTOR E]OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-817-8442 JJ HJORTEN CONTACT EMAIL:JJ.HJORTEN@SEQUOYAH.COM AGREEMENT.1 hereby certify that t 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/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#: Owner/Augiorized Agent Signature Date (Revised 4/5/2022) Page 1-Application _P12—oV-EGT CooW__'D I L-t CA'N'r