1002 51ST PL SW 2020-02-25 - Laserfiche WebLink

NEI LLECTRICAL PERMIT APPLICATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET,EVERETT,WA 98201 WASHINGTON. (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 1002 51st PI SW BUILDING AREA: 1853 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑✓ SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL CONTRACT PRICE OF WORK:$ 1600 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Repair main overhead service/mast assembly 200 amps THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ✓❑YES-Select Scope: 0 Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑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):Mast and meter repair rrtiDIATLitir.73" 174'34k n s wt, IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 151 NO • YES--See Below&Pg.2 I I 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: 0 NO OYES-See Below&Pg.3 I I 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 to receive an exemption from this licensing/certification requirement. OWNER NAME: John HatChell TENANT BUSINESS NAME If Commercial): OWNER MAILING ADDRESS: STREET 1002 51st PI SW CITY Everett STATE WA zip 98203 OWNER PHONE:425-760-3828 OWNER EMAIL:Jbhatchell@comcast.net CONTRACTOR NAME: Good Sense Electric CONTRACTOR ADDRESS: STREET P.O. Box 421 cry Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE:425-438-8738 CONTRACTOR EMAIL:carriew@goodsenseelectric.com CONTRACTOR LIC.#(REQUIRED):GOODSSE923D0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53371 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR MOTHER(Please Specify CONTACT NAME: CONTACT PHONE:425-438-8738 Dave/Carrie CONTACT EMAIL:carriew@goodsenseelectric.com AGREEMENT:/hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of aws 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Carrie C.Willian 1/14/2020 E Xr ( - 09,, 2 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application