3810 RIVERFRONT BLVD MERIDIAN 2024-10-25

E!CCTRICAL PERMIT APPLIiION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I(E)PermitServices@everettwa.gov I www.everettwa.gov/permits If)b L PROJECT SITE INFORMATION PROJECT ADDRESS:39'M Riverfront Blvd, Everett, WA 98203 BUILDING AREA: sq ft PROJECT TYPE: ✓0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑✓ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $100.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installation of 2 sets of halo lit channel letters. Installation of 2 sets of halo lit channel letters. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO ❑YES-Select Scope: ❑Service ❑Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑NO OYES-#of Devices:2 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):Signs CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO L 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:LINO OYES-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:Shelter Holdings LLC. TENANT BUSINESS NAME(If Commercial):Riverfront OWNER MAILING ADDRESS: STREET11624 SE 5th St, Suite 210 c,T., Bellevue STATE WA Z,P98005 OWNER PHONE:425-559-2340 OWNER EMAIL:eriC.eVanS@ShelterhOldingS.COm CONTRACTOR NAME:NorthWest Sign & Design CONTRACTOR ADDRESS: STREET17201 Beaton Rd SE CITY Monroe STATE WA Z,P98272 CONTRACTOR PHONE:425-844-641 5 CONTRACTOR EMAIL:arnber@nwSignS.Com CONTRACTOR LIC.#(REQUIRED):NWSIGS*84201 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53882 PRIMARY CONTACT: DOWNER ['CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4.25_844_6415 Amber Eby CONTACT EMAIL:amber@nwsigns.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 PERMIT#: 4m,6&- c 12/6/2022 E 2 212 - 0 5 0 Owner/Authorized Agat Signature Date (Revised 4/5/2022) Page 1-Application