3320 HOYT AVE 2019-09-23 - Laserfiche WebLink

L; "LECTRICAL PERMIT APPL... ATION EVERETTCIT'OF EVERETT PERMIT SERVICE. 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gav I tiv<vw,everettwa.govtpermits , PROJECT SITE INFORMATION tk , `p,. ,, ,,4 PROJECT ADDRESS: 3320 Hoyt AVE Everett 98201 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT d REMODEL BUILDING USE: LO SFR El TOWNHOUSE ❑DUPLEX ❑ADU 0 MULTi-FAMILY-#OF UNITS: ❑COMMERCIAL ELECTRICAL APPLICATION INFORMATION =DESCRIPTION:OF WORK CONTRACT PRICE OF WORK:$ 1850 (ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 200 amp panel change THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) UNE VOLTAGE WORK? El NO Q YES-Select Scope:0 Service El Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? Q✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio El Secure Access CI 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' iiS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑NO El 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 r• Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease l 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. M..... CON,TACT=INFORMATION OWNER NAME: Bill Murray TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3320 Hoyt Ave cm,, Everett STATE V V 1�' A zlp 98201 OWNER PHONE:na OWNER EMAIL:na CONTRACTOR NAME: In House Electric CONTRACTOR ADDRESS: sTREET1530 117th DR SE crry Lake Stevens STATE WA 21A 98258 CONTRACTOR PHONE:4257603203 CONTRACTOR EMAIL:ihepermits@gmaiI.com CONTRACTOR LIC.#(REQUIRED):inhoues952gg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: CI OWNER ❑CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4253209149 Kelsey CONTACT EMAIL:keisey@inhouseelectric.com AGREEMENT.t hereby certify that t 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 wh:ther 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.r the performance of sons!.ellen. 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 Contra ors Law 18.27 RC lFd 296.2x0 WAC, City of Everett Official Use Only PERMIT#: A(0 c°1/3�r E 101c -0On Owner/Authorize.Agent SI C;171. Pr Date (Revised 1111/2019) Page 1-Application