6722 HIGHLAND DR 2019-11-14 - Laserfiche WebLink

min La: ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps©everettwa gov i www.everettwa.gov/permits s . .10211V.. S:1A. 4 ,111, 0i,rTAIMIN�.V�Fi:■r��,jJ,�j i s $� c 5�� "��":�� t-;res � 'x'�1 � .Fe a?�:3,�i,y ��f..sTig PROJECT ADDRESS: 6722 Highland Dr BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION ✓❑ADDITION El TENANT IMPROVMENT El REMODEL BUILDING USE: 0 SFR Cl TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY #OF UNITS: ❑ COMMERCIAL I -kggn..f q4 Ake `L;f PAT,,I"O.F_i ' "f ttgg.gR PP#AF4 III RK ;k CONTRACT PRICE OF WORK:$ 7320.33 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 200 amp service THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ❑✓ YES-Select Scope: ❑✓ Service ❑ Feeder ❑ Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? El� NO CIYES-#of Devices: SELECT SCOPE(REQUIRED): Data ❑ Intercom ❑Thermostat ❑Audio ❑ Secure Access ❑ Security System ❑ 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. ❑ Other(List All): t,"' ""soamts..,t`y� s x yt . IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: in NO d 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. tI--t1 ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: INO EYES-See Below&Pg.3 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 appication to receive an exemption from this licensing/certification tification requirement. i aet a- ` . . i t iOlTTAN,AONO FE. lifi r s .: OWNER NAME: Scott Gridley TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6722 Highland Dr cm, Everett STATE WA Z,p 98203 OWNER PHONE 206 372-2584 OWNER EMAIL:Brendak@asyouwishelectric.com CONTRACTOR NAME: As You Wish Electric CONTRACTOR ADDRESS: STREET 825 S Stacy St civ Seattle STATE WA ZP 98134 CONTRACTOR PHONE:2067832525 CONTRACTOR EMAIL:Brendak@asyouwishelectric.com CONTRACTOR LIC.#(REQUIRED)•Asyouys925nm CITY OF EVERETT BUSINESS LIC.#(REQUIRED):048862 PRIMARY CONTACT: DOWNER [CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-783-2525 • Brenda CONTACT EMAIL:Brendak@asuouwishelectric.corn 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 governing this type of work will bo 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 l 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#: 4000 .0 5 / ' E Oorized Agent Signature Dab (Revised 1/11/2019) Page 1-Applicationpplication