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2402 CEDAR ST 2019-10-31
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2402 CEDAR ST 2019-10-31
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Last modified
10/31/2019 2:52:15 PM
Creation date
10/31/2019 2:51:55 PM
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Address Document
Street Name
CEDAR ST
Street Number
2402
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/11.d.—/-1 _-ECTRICAL PERMIT APPLiuATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT°SITE INFORMATION <br /> PROJECT ADDRESS: 2402 CEDAR ST BUILDING AREA: 1372 sq ft <br /> PROJECT TYPE: LI NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ✓❑REMODEL <br /> BUILDING USE: 0 SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> ELECTRICAL APPLICATION;:INFORMATION.&;;.DESCRIPTION:;OF,WORK <br /> CONTRACT PRICE OF WORK:$ 4392.00 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> UPGRADE OVERHEAD 100AMP SERVICE TO 200AMP <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ✓❑Service ✓❑ Feeder ❑Circuits-#: ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: <br /> SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio <br /> ['Secure Access El Security System <br /> ❑ Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑ Other(List All): <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO ❑YES- See Below&Pg.2 <br /> / By checking this box, lees m stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 <br /> of this application (snext page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO EYES-See Below&Pg.3 <br /> ✓ Pursuant to ROW 19.28.261; property owners and leaseholders cannot perform electrical work on buildings for rent,sale, or lease <br /> without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME: JOHN JAMES TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2402 CEDAR ST <br /> ciTy EVERETT STATE V V1/�/ <br /> A Z,P 98201 <br /> OWNER PHONE:505-220-0236 OWNER EMAIL:JJAMESGANGI @YAHOO.COM <br /> CONTRACTOR NAME: GS HEATING, COOLING &ELECTRICAL LLC <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> cm, EVERETT STATE WA ZIP 9,5201 <br /> CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:SARA@GSHEATING.COM <br /> CONTRACTOR LIC.#(REQUIRED):GSHEAHC8218R CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 60058 <br /> . ......... <br /> PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-610-4257 <br /> SARA HOLLAND CONTACT EMAIL:SARA@GSHEATING.COM <br /> 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 <br /> 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 <br /> local law regulating construction or the performance of construction. That!am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 ROW and 296.200 WAG. City of Everett Official Use Only <br /> PERMIT#' <br /> E \ O )- \ 3? <br /> OwtmerlAuthorized Agent Signature Date (Revised 1/11/2019) Page 1-Application <br />
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