3732 SMITH AVE SEATTLE MECHANICAL INC 2020-01-30

ELECTRICAL PERMIT APPLICATION iF '- CITY OF EVERETT PERMIT SERVICES 1 1..` p�r 3200 CEDAR STREET.EVERETT,WA 98201 ) (P)425-257-8810 I FAX 425.257-8857 I(E)overelIaps@evoretlwa.gov I www.everettwa.gov/permits ''''''''''''PROJECT'S TEINFORMATION'' z PROJECT ADDRESS . A . 114, * ' I BUILDING AREA: sq ft PROJECT TYPE: CJ NEW CONSTRUCTION 0 ADDITION , (TENANT IMPROVMENT L] REMODEL I UILDING USE: ❑SFR El TOWNHOUSE Cl DUPLEX E ADU ❑ MULTI-FAMILY-#OF UNITS: t°; COMMERCIAL I EL TR CAL APPLIC T°IO N • Ailotta,POSORIPTI*.N OF' O CONTRACT PRICE OF WORK. % ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK:_ . I :Wij 1 ° 4 I THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) i LINE VOLTAGE WORK? El NO X.I YES-Select Scope: El Service ❑ Feeder ti Circuits-4 J.— (Ti Complete Re-wire r s LOW VOLTAGE WORK? iiil NO El YES-#of Devices: SELECT SCOPE(REQUIRED): El Data U Intercom El Thermostat ❑Audio El Secure Access �,...] Security System • t El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Firerir�tAlarm Permit is required for review of device location and installation approval. I L_J Other(List All); CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: it NO a YES--See Below&Pg 2 By checking this box, I am stating that I have read and understand all of WAC 296468.900, 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.. t ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE, tgNO `'YES-See Below&Pg,3 ni 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 I see Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement, • 1 , CONTACT INFORMATION " I OWNER NAME: .41kli _ �f A'1kli \ . TENANT BUSINESS NAME(If Commercial): I OWNER MAILING.ADDRESS: .smnrs` IN ' } CITY 7�1 - � A� STATE : ZIP '�. OWNEI R PHONE:, '441st,' �.. OWNER EMAIL; 1 CONTRACTOR NAME: MERIDIAN CENTER ELECTRIC CONTRACTOR ADDRESS, seat-x11109 66TH AVE co-, PUYALL.UP -WA srnT� zir 98373 E. CONTRACTOR PHONE:360-419-0580 CONTRACTOR EMAIL:MTVPRODUCTION@MCELECTRIC.COM. CONTRACTOR LIC.#(RFOUIRLD).MERIDCE318SC; CITY OF EVERETT BUSINESS LIG-U(RE UtRED):r:t.• t' ,; b , PRIMARY CONTACT -JOWNEfR R.✓•.ICONTRACTOR R✓]OTHER(Please Specify)----:-.--;7,=„t"'"`•—=•--------------'7:::::.,=--=:.:;.....m CONTACT NAME:« �())ilV l� ()am CONTACT PHONE:360-419 O58O CONTACT EMAILVPRODUCTION c@7r MCELECTRIC,COMm d l :MT AGRi:;Emov/":1 herebyc rrrily that 1 have read and exarnxred this application and know the somo to be true and correct, All provisions of laws and ordinances govorning,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 stale or local taw 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 I comply with rho Slat Conh'actnrs law 18 2Tf3CW and 296,200 WAC,,< Cit of+ Everett Official Use Dot PER 'IT ` I .¢ • ,� 1 1 - OwnoClk�ttth [orized Agent Signet 1+' Date 1130)450(.1.1.0 1 '*/9) Page 1-Applicailon•