2505 W CASINO RD 2019-03-21 - Laserfiche WebLink

ELECTRICAL PRMIT & FIRE ALARM P"'"'-. lifIlT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits 44-17 PROJECT ITE>INFO.RMAIION PROJECT ADDRESS:A T&T-EVERETT 2505 WEST CASINO ROAD, EVERET,WA 982004 PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: El SFR El TOWNHOUSE El DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ' l COMMERCIAL BUILDING AREA: sq ft ELECTRICAL APPLICATION i'INFORMATION CONTRACT PRICE OF WORK:$250 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ❑✓ NO ❑YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ✓❑ NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION;OF WORK A=CO:DE COMPLIANCE DESCRIPTION OF WORK: Load bank testing of emergency back up generator IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO ❑YES--See Below&Pg.2 fBy 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: ✓❑NO OYES-See Below&Pg.3 — 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT?INFORMATION: . OWNER NAME:ATT TENANT BUSINESS NAME(If Commercial): ATT OWNER MAILING ADDRESS: STREET2505 WEST CASINO ROAD c,T,, Everett STATE WA ZIP 98204 OWNER PHONE:206-214-8808 OWNER EMAIL:cg3185@att.com CONTRACTOR NAME:Pacific Power Group CONTRACTOR ADDRESS: sTREET805 Broadway,#700 CRY Vancouver STATE WA Z,P 98660 CONTRACTOR PHONE:253-395-9077 CONTRACTOR EMAIL:anokes@pacificpowergroup.com CONTRACTOR LIC.#(REQUIRED):EC PACIFPG867D& CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 053000 PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: �i CONTACT PHONE:253-395-9077 Amanda Nokes CONTACT EMAIL:anokes@pacificpowergroup.com AGREEMENT:I hereby certify that I have read and examined this application and know the same tobe 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# 21i (2/7:1---'- 1 LI ( 11 Owner/Autho d Agent Signature Date (Revised 11/5/2018) Page 1-Application