2008 GRAND AVE 2023-06-14 - Laserfiche WebLink

elm 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 I www.everettwa.gov/permits PROJECT SITE INPOONKtoN PROJECT ADDRESS: 2008 GradAve BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION 0 ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFRWNHOUSE ❑ DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELE i� P4JCA i'M! :1 iIPii.~IO3I+1 ► DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 200.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Added one GFI and one single 15amp breaker inside elevator mechanical room THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ‘4440 �J. YES-Select Scope: ❑Service ❑ Feeder ❑ Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? 0 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):Elevator CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 7 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 do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: 1N0 EYES-See Below&Pg.3 71 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. CONTACT I " ORMATION OWNER NAME: 2008 Grand Ave Condos TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2008 Grand Ave #202 C,TY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Merit Electric, Inc. CONTRACTOR ADDRESS: 5TREEr12201 Cyrus Way, Ste 107 CITY Mukilteo STATE WA Zip 98275 CONTRACTOR PHONE:425 315 8840 CONTRACTOR EMAIL:ashley@meritei.com CONTRACTOR LIC.#(REQUIRED):MERITEI044BQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):032900 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 697 5024 Deran Hill CONTACT EMAIL: AGREEMENT:t hereby certify that I have read and examined this application and know the same to be true and correct, All provisions of laws 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: E �oS- \� Own /Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application