3819 WETMORE AVE 2020-01-31 - Laserfiche WebLink

® ELECTRICAL PERMIT APPULATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257.8810 FAX 425-257.8857 I(E)everetteps@everottwe,govI www.overottwa,govIpermits '�° ,�fir" p ri 4 sin +? -, �: .i,�. , ::� ., w's ,«. "•tk'' ?' 4ta07;i-� PROJECT ADDRESS: 'S I q (,J ,4. iM ty. 441-4—— BUILDING AREA: sq ft PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ®TENANT IMPROVMENT 0 REMODEL BUILDING USE: SFR ❑TOWNHOUSE El DUPLEX El ADU ❑MULTI-FAMILY-#OF UNITS: __ ElCOMMERCIAL x CONTRACT PRICE OF WORK: $ aC)0 ASSOCIATED BUILDING PERMIT#(if applicable): DESC"IBE SCO'E OF WORK: 1 3 3 rp.) rAID THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO 1:31-ES-Select Scope:0 Service El Feeder ❑Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? ErNO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data 0 Intercom ❑Thermostat 0 Audio ❑Secure Access El Security System El 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, El Other(List All): # p}g .0 aria c�c....:. .bz d.,.a- a ,Si_,.cs�.<��.,,�,�...r».F-.,z ._�,., �.'�...f� �N�.K�' _ IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: rAl NO 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 de not See Page 2 require Plan Review, ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSUREZtO LJYES-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 El 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 to receive an exemption from this licensing/certification requirement. , .... . t. .. ., 4"' _4ot t $„ :. - . OWNER NAME: C 1.-C..VY1.G-b c TENANT BUSINESS NAME(If Commercial OWNER MAILING ADDRESS: snRgcT S CI tjti I'r c'.r < A 4.-.- [/� /{ cm( C2. STATE; C- Zip ""t gob t OWNER PHONE:q - 1 5 ' (.0 tD t0 NER EMAIL: CONTRACTOR NAME: Brennan Heating CONTRACTOR ADDRESS: sTREET4601 S 134th PI CITY Seattle STATE Wa ,i„ 98168 CONTRACTOR PHONE:206-248-7900 'CONTRACTOR EMAIL:jaimie@brennanheating.com CONTRACTOR LIC,#IREQUIRED):BRENNHA962DU CITY OF EVERETT BUSINESS LIC,If(REOU1REO):028230 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206248-7900 J a i rn i e HOW CONTACT EMAIL:jairnie@hrennanheating.com ,AGREEMENT:I hereby certify that I have read and examined this application and know the same to be trite and correct. Al!provisions of laws and ordinances governing tht type'at work wilt be completed whether specified heroin or not Tho granting of a pormit does not presume to give authority to vlotata or cancel Ma provisions of any ether state or loc. owv -gelating construction'or the performance of constructor. Mat I am authorized by the owwter Of this property to perforin To work for which appticatton is made and I c.imply wit the State Contractors'Law 18.27 ROW and 296,200 WAC. City of Everett Official Use Only PERMIT II: Ii 14,,L; IP a t g E O \2, 05 O -a-I./Authorized Agent Signature Date (Revised 1111/2019) Page 1-Application