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3003 W CASINO RD BLDG 40-41 2024-11-12
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3003 W CASINO RD BLDG 40-41 2024-11-12
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Last modified
11/12/2024 8:03:17 AM
Creation date
10/24/2024 7:32:49 AM
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Address Document
Street Name
W CASINO RD
Street Number
3003
Tenant Name
BLDG 40-41
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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 i(E)PermitServices@everettwa.gov i www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3003 W. Casino Rd., Bldg. 40-41/Exterior Gridlines: B6 IBUILDING AREA: 10000 sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION Q TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: ❑SFR []TOWNHOUSE [] DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$300000 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK:Replace existing generator w/new 75kVA generator;Provide(1)100A MTS,(3)100A MLO panelboards,(1)30kVA 480/208/120 transformer&re-feed ATSs w/normal power <br /> Replace existing generator w/new 75kVA generator;Provide(1)100A MTS,(3)100A MLO panelboards,(1)30kVA 480/208/120 transformer&re-feed ATSs w/normal power <br /> SegJob #202649 <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO AYES-Select Scope:❑Service Z Feeder ✓❑Circuits-#:1 ❑Complete Re-wire <br /> LOW VOLTAGE WORK? ❑NO 0 YES-#of Devices:2 <br /> SELECT SCOPE(REQUIRED): ❑Data ❑Intercom ❑Thermostat ❑Audio ❑Secure Access ❑Security System <br /> ❑Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An <br /> additional Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑✓ Other(List All):Generator controls <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO LJ YES--See Below&Pg.2 <br /> ❑ 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 <br /> 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 <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:❑✓ NO ❑YES-See Below&Pg. <br /> ❑ Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease <br /> without the proper electrical licensing and certification,or exemption. By checking this box, I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME The Boeing Company TENANT BUSINESS NAME(If Commercial):Boeing <br /> OWNER MAILING ADDRESS: ITREET3003 W. Casino Rd. <br /> ,,, Everett STATE WA ZIP 98204-1910 <br /> OWNER PHONE:425.342.2121 JOWNER EMAIL:n/a <br /> CONTRACTOR NAME:Sequoyah Electric LLC <br /> CONTRACTOR ADDRESS: ITIE115135 NE 92nd Street <br /> c,n Redmond STATE WA z,P98052 <br /> CONTRACTOR PHONE.425.814.6000 CONTRACTOR EMAIL:angela.hOCking sequoyah.COm <br /> CONTRACTOR LIC.#(REQUIRED):SEQUOEL977S9 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED):40645 <br /> PRIMARY CONTACT: ❑OWNER EICONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206.778.0463 <br /> Kevin Fieser,Sr. Project Engineer <br /> CONTACT EMAIL:keVln.fleSer@SegU0yafl.COm <br /> AGREEMENT/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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> rEE� <br /> T#: <br /> 3-�.ZoZ- - <br /> Owner/A thorized Agent Signat Date (Revised 41512022) Page 1-Application <br /> �,���. {-t-�u.�I►�G, ate-�-��cT C�trt��t�J���PtPPU c.s+�n�T <br />
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