8204 SPOKANE DR 2019-09-24 - Laserfiche WebLink

��ff� ELECTRICAL PERMIT APPLICATION CI CITY OF EVERETT PERMIT SERVICES - 7/ 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov 1 www.everettwa.govipermits PROJECT SITE INFORMATION PROJECT ADDRESS: 8204 SPOKANE DR#302 BUILDING AREA: 1394 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ID REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ✓❑MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELECTRICAL,APPLICATION';INFORMATION BrtDESCRIPTION OF-WO:RK, CONTRACT PRICE OF WORK:$ 3807.85 (ASSOCIATED BUILDING PERMIT#(if applicable): �n DESCRIBE SCOPE OF WORK: k.`10%.-C�33S DISCONNECT/RECONNECT OF GAS FURNACE THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ✓❑YES-Select Scope: ❑Service ❑Feeder ❑✓ Circuits-#:1 ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): Cl Data El Intercom ❑Thermostat ❑Audio ❑Secure Access El Security System El 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): CODEt;COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO CI YES—See Below&Pg.2 / By ch , aiand n4B- 0, ed theie 1/ of this applicationeckingthisbox(see Iam nextstpageting )that,ANDhave Planread Reaviewuis derstand NOT requiredallof WAC because296-1 me6et90all ofsthe followinglectee subspcifsectcrionsason thaton dopage not 2 See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO 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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. OWNER NAME: JAMES DEVERY TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8204 SPOKANE DR#302 ciTr EVERETT STATE WA ZIP 98203 OWNER PHONE:425-772-2277 OWNER EMAIL:GREENHUMANJAMES@GMAIL.COM CONTRACTOR NAME: GS HEATING, COOLING&ELECTRICAL LLC CONTRACTOR ADDRESS: STREET3409 EVERETT AVE CRY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-6104257 CONTRACTOR EMAIL:SARA@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED):GSHEAHC8218R CITY OF EVERETT BUSINESS LIC.#(REQUIRED):60058 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 SARA HOLLAND CONTACT EMAIL:SARA@GSHEATING.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 authorhed by the owner of this property to perform the work for which application is made end I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: f�/�.r.(� — -11 E ��O9 -- 0(0 Owned uthonzent Signature Date (Revised 1/11/2019I Page 1-Application