7718 MERIDIAN AVE 2020-01-21 - Laserfiche WebLink

ELECTRICAL.PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits RO 4Ec SITE 4FQRMriT O PROJECT ADDRESS:7718 MERIDIAN AVE PROJECT TYPE: 0 NEW CONSTRUCTION ADDITION ❑TENANT IMPROVMENT .El...REMODEL BUILDING USE: ©SFR 0 TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL BUILDING AREA 1647 sq ft ELECTRICAL APPLICATON1 NFCRMAT ONS' ' CONTRACT PRICE OF WORK:$250 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ❑✓ NO ❑YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? 10 NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DL$C PTION CfI V�1 K & CODE;MOM E 3 DESCRIPTION OF WORK: MODIFY CIRCLM FQJ HEAT PUMP INSTALL.-TSTAT QONNECTION IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ©NO ❑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:[ZINO OYES-See Below&Pg.1 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 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. =CONTAC IN iIRM. �! � � , :E OWNER NAME;ALYSON YELENICH TENANT.BUSINESS NAME If Commercial;- OWNER MAILING ADDRESS: STREET 7718 MERIDIAN AVE EVERETT WA i OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS:. STREET 1415 BROADWAY are EVERETT sive WA ZIP 98201 CONTRACTOR PHONE.425-259-0550 'CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LIC,#(REQUIRED:CMHEAMH877DN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 016096- (Please Specify) PRIMARY CONTACT: 'DOWNER ©CONTRACTOR 0 OTHER CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM AGREEMENT:I hereby certify that 1 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 Onty PERMIT# 01/10/19 l "�4c 4444 z) . Owner/he.nzed:Agent Signature Date (Revised 11/5/2018) Page 1-Application