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ELECTRICAL &MIT & FIRE ALARM PIT APPLICATION <br /> A CITY OF EVERETT PERMIT SERVICES <br /> s' _ �: 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> Mee VslffiganaKAMM <br /> PROJECT ADDRESS:1111 Craftsman Way, Everett,WA 98201 <br /> PROJECT TYPE: 0 NEW CONSTRUCTION LI ADDITION ❑TENANT IMPROVMENT ✓❑REMODEL <br /> BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX El ADU ❑MULTI-FAMILY-#OF UNITS: ©COMMERCIAL <br /> BUILDING AREA: sq ft <br /> Mi ' • ' TV <br /> CONTRACT PRICE OF WORK:$5000 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> IS THIS LOW VOLTAGE WORK? ❑✓ NO El YES-#OF DEVICES: <br /> IS THIS A FIRE ALARM PERMIT? ✓❑ NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> DESCRIPTION OF WORK: LED Retrofit of interior. Replacing existing highbays with LED fixtures and replacing 10 exterior <br /> wallpacks with new LED wallpacks. <br /> IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 171 NO CI YES--See Below&Pg.2 <br /> r11 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 <br /> 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:ONO EYES-See Below&Pg.3 <br /> Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without <br /> ri the proper electrical licensing and certification,or exemption. By checking this box,I am stating that I have completed and signed the <br /> See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> OWNER NAME: TENANT BUSINESS NAME(If Commercial): Bayside Marine <br /> OWNER MAILING ADDRESS: STREET 1111 Craftsman Way <br /> c,T, EVerett STATE WA ZIP 98201 <br /> OWNER PHONE:(425)252-3088 OWNER EMAIL:Jeff@BaysideMarine.com <br /> CONTRACTOR NAME:Resound Energy <br /> CONTRACTOR ADDRESS: STREET22122 20th AVE SE STE 159 <br /> c,Tv Bothell STATE WA ZIP 98021 <br /> CONTRACTOR PHONE:2069487739 CONTRACTOR EMAIL:jessicab@resoundenergy.com <br /> CONTRACTOR LIC.#(REQUIRED):RESOUEL861 N6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58285 <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR LI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-948-7739 <br /> Jessica Bechtel CONTACT EMAIL:jessicab@resoundenergy.com <br /> 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 <br /> 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 <br /> 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 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Jessica BechtelDigitally signed by Jessica Bechtel 1/21/19 \O'� ' f I�� <br /> r'Chafe:2019.01.21 15:12:31-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page 1-Application <br />