2920 RUCKER AVE HERTZ CAR RENTAL 2019-04-16

ELECTRICAL PMIT & FIRE ALARM PLMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 47-(P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits • PROJECT SITE INFORMATION t PROJECT ADDRESS:2920 Rucker Ave, Everett, WA 98201 PROJECT TYPE:nNEW CONSTRUCTION 0 ADDITION 0 ENANT IMPROVMENT III1REMODEL BUILDING USE: FR 0 TOWNHOUSE 0 DUPLEX 0 DU 10 MULTI-FAMILY-#OF UNITS: is COMMERCIAL BUILDING AREA: 2000 sq ft ELECTRICAL./ PP4ICATIQ$ INIFOI M4 TIONf CONTRACT PRICE OF WORK:$3500.00 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? 0 NO 0 YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? E O 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK 8 CODE COMPI1A5NCE DESCRIPTION OF WORK: Install 2 fixtures under the carport area THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ED 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 I(J 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: I■I 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: Hertz Companies TENANT BUSINESS NAME(If Commercial): Hertz OWNER MAILING ADDRESS: STREET 8501 Williams Rd • cm, Estero STATE FL ZIP 33928 OWNER PHONE: (239)3014000 OWNER EMAIL: n/a CONTRACTOR NAME:West Coast Lighting & Energy Inc. CONTRACTOR ADDRESS: STREET 18550 Minthorn St any Lake Elsinore STATE CA ZIP 92530 CONTRACTOR PHONE:9512960680 CONTRACTOR EMAIL: Orwa@wcleinc.com CONTRACTOR LIC.#(REQUIRED):ECWESTCCL929B CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 047162 PRIMARY CONTACT: DWNER IONTRACTOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 9512960680 Micah Hazen CONTACT EMAIL: orwa@wcleinc.com 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 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# ( a811F E 2C( - L1 Owner/Authorized A t Signature Date (Revised 9 10/30/2018)