2000 TOWER ST WHITEHORSE HALL 2026-03-13

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASIH NoToN (P)425-257-8810 1(E)PermitServices@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2000 Tower St, Everett, WA 98201 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ❑TENANT IMPROVMENT Z REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$375,000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Arc flash evaluation and thermographic testing of electrical equipment in multiple buildings on campus. Add panel and circuits to the White Arc flash evaluation and thermographic testing of electrical equipment in multiple buildings on campus. Add panel and circuits to the White Horse Hall Makerspace. Replace interior transformer in the AMTEC Building and replace(5)exterior site lighting poles with new. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO Z YES-Select Scope: ❑Service Z Feeder ❑✓ Circuits-#:8 ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑Intercom ❑Thermostat ❑Audio ❑Secure Access In 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: LJ NO ✓ YES--See Below&Pg.2 ❑ By 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:Everett Community College TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2000 Tower Street ,IT,, Everett STATE WA ZIP 98201 OWNER PHONE:425-388-9565 OWNER EMAIL:aflaa@everettcc.edu CONTRACTOR NAME:TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: [—]OWNER ❑CONTRACTOR OTHER(Please Specify) Project Electrical Engineer CONTACT NAME: CONTACT PHONE:206-516-9442 Jon Beade CONTACT EMAIL:jon.beade@hargis.biz 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/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only EE� #: Digitally sign,tl 1,Jonathan Bead, Jonathan Beade°9 es:Ueic'°CN-�-1ha�93ed. "a,9i, 2/6/24 Dat,'.2025.08.07 14:15 24 08'00' Owner/Authorized Agent Signature Date (Revised 41512022) Page 1-Application