3333 KROMER AVE 2019-11-06 - Laserfiche WebLink

ELECTRICAL MITFIRE ALARM PAM IT APPLICATION 7CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET EVERETT M 9827 (P)425-2574810, 1 FAX 425-257-8857 l(E)#verotteps@everottwa.gov 1 wwvw everett ,,govt errnits? ",' -h3 lie zmayx.. ' /,...r : r f� fOJEcTt S f INi AT1 qy „e%14,7,-,,,::, ..> .. ...-` i�4 4 33,3 j ..... wif PROJECT ADDRESS,3333 Kromer AVE Everett 98201 PROJECT TYPE: ■�NEs CONSTRUCTION ',ElADDITION ': ENANT IMPROVMENT :I REMODEL BUILDING use. Liz FR 0 OWNHOUSE E:1#UPLEX 0 k DU ■ ULTI-FAMILY-#OF•UNITS: 0 'OMMERC1AL BUILDING AREA 1344 sq ft S. ff ..c.. / : ..'3< ....GLI I ab A0 1 l.— 0 ; \ y (. .`-;i.' ,,\t ,.;s.: CONTRACT?RICE OF WORK.$2000 ASSOCIATED BUILDING:PERMIT#(If applicable): IS THIS LOW VOLTAGE WORK? 0 NO 0'YES-#OF DEVICES:S IS THIS A FIRE:ALARM PERMIT? .0 ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) `t r '�.,� '.' „* :, �`M�e `� , (� � �§- z fir, ---E-. �s 1z � `'�”„ �". , � '�•• ,:..e�� P� l r �` R d: C .1,;; cue., t r: k <` DESCRIPTION OF WORK; Install new I OOAMP panel, Install new hot water tank Circuit.. THIS SECTION APPLIES TO ALL EDUCATION INSITUTIONAL HEALTH AND/OR PERSONAL CARE FACILITIES: FE2riIcy checking this box;I am stating that I have read and understand all of WAC 296-48B-S0O,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following Sub sections that do not See Page 2 require Plan Review, ATTENTION OWNERS.,THIS SECTION 1$FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE. Pursuant to ROW'19.28.261,property owners andteaseholders cannot perform electrical work on buildings-•for rent sale,or lease without Liinijj the proper electrical licensing and certification,or exemption.ay checking this box,I am stating that I have completed and signed the See page 3 AFFIDAVIT on ptige 3 of this,application to receive en exemption from this licensing/certification requirement., OWNER NAMI : Gari/ Galu ha TENANT BUSINESS NAME(lf'Commercial)s OWNER MAILING ADDRESS: STREET 3333-Kromer AVE COY Everett STATE WA op 98201. OWNER PHONE: 025)20'4212 OWNER EMAIL: CONTRACTOR NAME:Brennan Heating and Air Conditioning CONTRACTOR ADDRESS; s alt° 4.601 S 134th PL„, CITY Seattle STATE WA zip 98168 CONTRACTOR PHONE:206 248.7900 CONTRACTOR EMAIL: me rcedez i brennanheatin s.corn CONTRACTOR LIC #(REQUIRED) B tRENNHA962DU CITY OF EVER ETT BUSINESS LIC,#(REQUIRED) tip 2. PRIMARY CONTACT: 0 *INNER ONTRACTOR U OTHER'(Please xpecify CONTACT NAME: CONTACT PHONE 20'6.248.7900 Mercedez ez Wil on CONTACT EMAIL: mercedez brennartheatfn ,Com A CR EMENT:•t hereby certify that r•:have road end examined this apblicetien end know the same,to be true and-cotreet, All prthlI tpnS:of haws arra eidinences governing this type of work will be completed whether specified herein or not.. Rip tenting of a.permit:does riot preset to gave authority to violate or cancel the provis,kuts of any other stale orMasi lawregutatin9 construction or the performance ofaensir tion" That r am authprized by the owner of this property to perform the work tor which application is made and I comply with the State Contractors Law-18.27 RCW and 295.20E WAC. - City r)f Everett OfleI use Only PERMIT ft )f.4.- 1U(?A\, '\0( . m Owner/Authorized Agent Signature Date (Revised/048481 Pagel of 3