1018 OAKES AVE 2019-11-06 - Laserfiche WebLink

ECTRICAL PERMIT APPLI TION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www,everettwa.gov/permits PROJECT SITE INFORMATION,' PROJECT ADDRESS: 1018 Oakes Ave Everett 98201 PROJECT TYPE: El NEW CONSTRUCTION E:1 ADDITION ❑ TENANT IMPROVM NtTILDEl REMODEL sq , BUILDING USE: ❑✓ SFR D TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ELECTRICAL APPLICATION INFORMATION A,•DESCRIPTION OF WORK [71 COMMERCIAL CONTRACT PRICE OF WORK: 1200 !ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: (2) altered circuits for Partial Knob & Tube Rewire and (3) receptacles THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) UNE VOLTAGE WORK? El NO 0 YES-Select Scope:El Service ❑ Feeder El Circuits-#:2 ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO El YES-#of Devices: SELECT SCOPE(REQUIRED): El Data El Intercom ❑Thermostat ❑Audio El Secure Access ❑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. El Other(List All): ' `=. CODE.COMPLIANCE'.• 7.i;.! � 1 „ - -, . «,, „Ai ,; , IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: I NO $ YES—See Below&Pg.2 flBy checking this box,I am stating that I have read and understand all of WAC 296-468-900,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: ENO EYES-See Below&Pg.3 1-1 I I 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. ,, `C INTACT INFORMAflON 4192 x..,. OWNER NAME: Misha Hann TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: stR>:1 r 1018 Oakes Ave crry Everett STATE WA ZIP 98201 OWNER PHONE:na OWNER EMAIL:na CONTRACTOR NAME: In House Electric CONTRACTOR ADDRESS: STREET 1530 117th DR SE cnv Lake Stevens STATE WA z„, 98258 CONTRACTOR PHONE:4257603203 CONTRACTOR EMAIL:ihepermits@gmail.com CONTRACTOR LIC.#(REQUIRED):inhoues952gg CITY OF EVERETT BUSINESS LiC.#(REQUIRED):044168 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4257603203 Kelsey CONTACT EMAIL:kelsey@inhouseelectric.com AGREEMENT:I 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 type of work will be completed whether specified herein ornot. 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 far which application is made and I comply ' e State C• tractors Law 18.27-- r'and 296.200 WAG. City of Everett Official Use Only PERMIT#: /f 0//S1rq E \ OS - \O� Owner Authorized Agent Signa ure Date (Revised 1/11/2019) Page 1-Application