3011 W MARINE VIEW DR 2019-11-06

ELECTRICAL P0kMIT & FIRE ALARM PE IT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits ..*:.:,::::,-::":„;-,z,-; PROJECT;SITE INFORMATION - >y, PROJECT ADDRESS:3011 West Marine View Dr, Everett,WA 98201 PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION E TENANT IMPROVMENT ❑ REMODEL BUILDING USE: E SFR El TOWNHOUSE El DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL BUILDING AREA: 1880 sq ft ELECTRICAL AP_PLICATION:INFORMATION CONTRACT PRICE OF WORK:$ tgb.C° ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ❑✓ NO El YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? E NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) W `"` " ' i'J , ,' DESCRIPTIONEOF WORK $r'CODE COMPLIANCE; 3 ry. 111 DESCRIPTION OF WORK: Replacing electrical panel due to current one failing. IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO ❑YES--See Below&Pg.2 I 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:ONO EYES-See Below&Pg.3 111 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:Bryce Oliver TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: sTREET3011 West Marine View Dr cnv Everett STATE WA ZIP 98201 OWNER PHONE:36O-870-61455 OWNER EMAIL:bryce.Oliver.1993 p@hotmail.com CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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 authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 2g171L/ / 9 b Vut,OA--- t 0 Owne uthorized Agent Signature Date (Revised 11/5/2018) Page 1-Application