Laserfiche WebLink
ELECTRICAL P.RMIT & FIRE ALARM PE MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> /111P004 ---A 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 SiT INFORMATION , <br /> PROJECT ADDRESS:2021 Oaks AVE Everett WA 98201 <br /> PROJECT TYPE: nNEW CONSTRUCTION 0 ADDITION El ENANT IMPROVMENT nREMODEL <br /> BUILDING USE: FR 0 TOWNHOUSE 0 8UPLEX ❑ DU b AULTI-FAMILY-#OF UNITS: [OMMERCIAL <br /> BUILDING AREA: sq ft <br /> ;' 3 R ELECTRICAL;IAPIFIT OMION'IhTFORMATION <br /> CONTRACT PRICE OF WORK: S 1500 ASSOCIATED BUILDING PERMIT#(If applicable): <br /> IS.THIS LOW VOLTAGE WORK? 0 NO RY <br /> ES-#OF DEVICES: <br /> IS THIS A FIRE ALARM PERMIT? 1gl�o YES-Plans required for review(Both Electrical and Fire Department Inspections are required) <br /> DESCRIPTION OF WORK & CODE COMPLIANCE <br /> DESCRIPTION OF WORK: Install 3 new kitchen circuits <br /> THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: <br /> oniBy 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 <br /> of this application(see next 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 /> ATTENTION OWNERS: THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: <br /> iiliIPursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or!ease without <br /> Ithe proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and signed the <br /> See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this ticensinglcertificatlon requirement <br /> CON ACT INFORMATION i+ <br /> OWNER NAME: Coalan O'Domhnaill TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2021 Oakes AVE SE <br /> cm Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425.351.7340 'OWNER EMAIL: <br /> CONTRACTOR NAME: Brennan Heating and Air Conditioning <br /> CONTRACTOR ADDRESS: sTREET 4601 S. 134th PL 98168 <br /> cnY Seattle STATE WA Zm <br /> CONTRACTOR PHONE:206.248.7900 'CONTRACTOR EMAIL: Mercedez@brennanheating.com 028230 <br /> CONTRACTOR LIC.#(REOUIRED):BRENNHA962DU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: WNER [TONTRACTOR POTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.248.7900 <br /> Mercedez Wilson CONTACT EMAIL: Mercedez@brennanheating.com <br /> AGREEMENT:!hereby certify that f have read and examined this application and know the same to be true and correct. All po rovisions of taws and ordinances <br /> golate or cancel the <br /> poverning this typoothe state orf work will local law reguleted ating ng conether s ructionecified hor the performance of construction. That I em Alerein or not. The granting of a permit does not p l p <br /> goveby the oauwner of this o 1properly to perform the <br /> work <br /> f any <br /> 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 <br /> PERMIT# <br /> 0(6, ‘Cil a 1 <br /> Owner/Authorized Agent Signature Date <br /> (Revised 10/30/2018) Page 1 of 3 <br />