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ELECTRICAL PERMIT & FIREL. I APPLICATION
<br /> CITY OF EVERETT PERMIT-SERVICES '
<br /> 3200'CEDAR STREET, EVERETT,WA 9820
<br /> (P)425-257-8810 I FAX 425.257-8857 ((E)everetteps@ev`e-ettwa.go�.r I wvreverettwa.govtpermits
<br /> PROJECT SITE INFORMATION
<br /> PROJECT ADDRESS:2909 Forest View DC
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<br /> PROJECT TYPE: ❑ NEW CONSTRUCTION V ADDITION ❑ TENANT IMPROVMENT REMODEL
<br /> i_BUILDING USE: � SFR 7 TOWNHOUSE 7] DUPLEX 7,ADU Li MULTI-FAMILY-#OF UNITS:_—._. __ Li COMMERCIAL
<br /> !ELUDING AREA: so ft
<br /> ELECTRICAL APPLICATION INFORMATION N
<br /> `CONTRACT PRICE OF WORK:81500 ;ASSOCIATED i3UILDING PERMIT#(if app(icable): —,—
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<br /> lIS i HIS LOW VOLTAGE WORK? XI NO .J ES-#OF DEVICES:
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<br /> ;.;THIS A FIRE ALARM PERMIT? 7i NO Li g,YES-Plans required for review(Both Electrical and Fire Department inspections a+e ,uireu €
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<br /> DESCRIPTION OF WORK & CODE COMPLIANCE i
<br /> DESCRIPTION OF WORK: install switch and light in bedroom for center light.relocate outlet so closet can changed iocaticn in t
<br /> ry ..uy.
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<br /> IS IHls PERMIT EDUCATION,INSITUTIONAL,HEALTH AND./OR PERSONAL CARE FACILITIES: 7 NO FT YES--See Be,cw&Pe.2
<br /> • P By checking t-s box,: am statinq that 1 have read and understand all of WAC 286-46B-900,selected the specific season on pa
<br /> t I of this application(see-ext page),AND Plan Review is NOT requited because I.want all of the following sub sections that co.,_: ,t
<br /> See age 2 require Plan Reviewo-i . f
<br /> iiIR YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITH!.OJT ELECTRICAL _ICENSUR L_ No _;YES __ . n,; &Pc ,
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<br /> i1 PU:SUarj to ROSS 9 28 251,property g.:,,,res and.ees s.C de r ,t� perform.electr-ual r on bn'In. .gs for rent_see or lease ._'�t:
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<br /> f� the proper electrical ces s g and certification,or exemption.By rt ecs ng his box I ern stating that I have completed and signed the
<br /> se= aco 3 AFFIDAVIT on page 3 of this application ..,feces,e a , ,.,e•c,ti,h fror;n this lice�nsing;ce;:ific.ation e;uire=ger.;.
<br /> CONTACT INFORMATIONd
<br /> 'OWN`SR NAME: TENANT BUSINESS NAME(If Commercial):
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<br /> /C't` N: R MAILING ADDRESS: .,_- —!
<br /> I .4... ; PHONE: OWNER FMAl! :
<br /> e I RA2'.TOR NAME: lil Pi i C8 Electric L.LC
<br /> C;o?ADDRESS: C� BOX 1248
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<br /> t itM xRY CONTACT: IL OWNER 7i i,,„O ti(RACTOR l OTHER tiwease 'Specify I._-.----
<br /> r1'TACT NA";E: �Pw CON PC PHO N _:42 485 a`2 1
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