Laserfiche WebLink
ELECTRICAL I- MIT & FIRE ALARM F'MIT APPLICATION <br /> CITY OF EVERETT PERMIT SER'rtES <br /> 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 /> 4reETT <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:1719 Hewitt Avenue <br /> PROJECT TYPE: El NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT H REMODEL <br /> BUILDING USE: H SFR ❑ TOWNHOUSE ❑ DUPLEX Ti ADU ❑ MULTI-FAMILY-#OF UNITS: ❑I COMMERCIAL <br /> BUILDING AREA: 1200 sq ft <br /> i <br /> ELECTRICAL APPLICATION INFORMATION'. <br /> CONTRACT PRICE OF WORK: $2000 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> IS THIS LOW VOLTAGE WORK? ❑✓ NO ❑ YES-#OF DEVICES: <br /> IS THIS A FIRE ALARM PERMIT? El NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> DESCRIPTION OF WORK & CODE COMPLIANCE <br /> DESCRIPTION OF WORK: Modify existing circuits to feed 6 work station receptacles and lighting. <br /> Connect replacement HVAC equipment. <br /> IS THIS PERMIT EDUCATION, INSITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below&Pg.2 <br /> 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 <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 /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO DYES-See Below&Pg. 3 <br /> Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without <br /> the 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 licensing/certification requirem <br /> CONTACT INFORMATIONif <br /> OWNER NAME: Rachael Johnson TENANT BUSINESS NAME (If Commercial): EN VIE LLC <br /> OWNER MAILING ADDRESS: STREET6218 60th Street SE <br /> cin Snohomish STATE WA ziP 98290 <br /> OWNER PHONE:360-333-1807 OWNER EMAIL:rachael@enviesalon.com <br /> CONTRACTOR NAME:VALLEY ELECTRIC <br /> CONTRACTOR ADDRESS: STREET 1100 MERRILL CREEK PARKWAY <br /> CITY EVERETT STATE WA ZIP 98290 <br /> CONTRACTOR PHONE:4253227428 CONTRACTOR EMAIL:DREW)@VELECTRIC.COM <br /> CONTRACTOR LIC.#(REQUIRED):VALLEEC141NA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 022558 <br /> PRIMARY CONTACT: E OWNER ✓I CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-350-9074 <br /> DREW JOHNSON CONTACT EMAIL:DREWJ@VELECTRIC.COM <br /> AGREEMENT:1 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 <br /> 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 <br /> provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> /--2_ 7-2 /g \at()\ — -1--( <br /> Owner/Authorized Agent S' nature Date (Revised 11/5/2018) Page 1-Application <br />