7716 RAINIER DR 2020-01-30 - Laserfiche WebLink

•MIR ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT. 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT ADDRESS: znier De , /'eR.`t- f p i BUILDING AREA: I Mi sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: g SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL E aT ' Q .L C .>�.,a fiTa I: ,a�'.a i';cc..:��.e kvrufiac�'i i...�..�' 7,S ..� zap .it. CONTRACT PRICE OF WORK:$ ; ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: � , „/ FW' oafara dr ' ' 0/" -' THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ►:1 YES-Select Scope:El Service ❑ Feeder ►:1 Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat El Audio El 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): IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO I 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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: eNO AYES-See Below&Pg.3 giPursuant 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 ofthis application to receive an exemption from this licensing/certification requirement _ y OWNER NAME: UM."' • ter/ TENANT BUSINESS NAME(If Commercial): OWNER.MAILING ADDRESS: STREET i iI ' P 4F CITY �Y er- STATE Y.V M ZIP 13,,,_ # OWNER PHONE: / AV) 4,3 7 . OWNER EMAIL: 1/ , OiLf 1 Sh(/I r 1' .G 061 CONTRACTOR NAME: ® 4 , - t/�t C+ a /14' than c CONTRACTOR ADDRESS: STREET . ,SCD Dr CITYc„;-~ (� STATE I ` ZIP / d CONTRACTOR PHONE:3 i.Y— ` 4.,74' CONTRACTOR EMAIL:r(rr i • A s 1,1644i Wad i• L d evi CONTRACTOR LIC.#(REQUIRED): / f I Q-dQ d 0° CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O 1-7/a PRIMARY CONTACT: DOWNER KCONTRACTOR MOTHER(Please S•ecify) CONTACT NAME: CONTACT PHONE: 5 C¢O a 4L j ...ga74, M 1(J j V' 1(e CONTACT EMAIL: ` 40v) , no o r (rlro.11- , corn AGREEMENT:!hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of I.ws 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 1 comply with the State Contractors Law 18.27 R and 296.200 WAC. City of Everett Official Use Only PERMIT#: �o EwO\- OJ) Owner/Auth'r ed Agent Signature Date (Revised 1/11/2019) Page 1-Application