1500 W MARINE VIEW DR 2019-03-28

ELECTRICAL PERMIT APPLICATION 47rCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 i FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits IMOD,1 i Cr) PROJECT'•„ TE INFORMATION PROJECT ADDRESS.•-1-506- /est Marine View Drive BUILDING AREA: NIA sq ft PROJECT TYPE: ✓❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLI AT ON IN • � ,,.. ' ,_,# I ESI RIP ,,'..� �s. 'h, . . CONTRACT PRICE OF WORK: $ 500.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Connect temporary power cord to existing electrical panel/ PQ, THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑✓ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED) ❑ Data ❑ Intercom El 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): COI IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓� NO LI 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: ENO EYES-See Below& Pg. 3 Pursuant to ROW 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. .11", 00tNFORI ATION . OWNER NAME: Bering Industrial Contractors TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 628 CITY Edmonds STATE WA ZIP 98020 OWNER PHONE:206.863.0107 OWNER EMAIL:aaronarchie82@gmail.com CONTRACTOR NAME: Service Electric CONTRACTOR ADDRESS: STREET PO Box 1489 CITY Snohomish STATE WA ZIP 98291 CONTRACTOR PHONE:360.568.6966 CONTRACTOR EMAIL:Sharon@secoinc.com CONTRACTOR LIC.#(REQUIRED):SERVIEC564RU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 029064 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.508.2605 Andy Poat CONTACT EMAIL:andy.poat@secoinc.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#: 54 enc E i Q O 2--d2 2-1-19 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application