3813 GRAND AVE 2020-03-06 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:3813 Grand Ave PROJECT TYPE:ONEW CONSTRUCTION 11 ADDITION 0 TENANT IMPROVMENT Ej REMODEL BUILDING USE: PISFR 0IIOWNHOUSE El it DU D vtULTI-FAMILY-#OF UNITS: rO OMMERCIAL BUILDING AREA: 821 sq ft ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK:$2000 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? I�O .0'"YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ® O 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK&CODE COMPLIANCE w DESCRIPTION OF WORK: Partial rewire in laundry room,kitchen,living rom and bedrooms.1 -50amp dedicated circuit for oven THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: UBy 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Den Helterline TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3813 Grand Ave cnv Everett STATE WA nP 98201 OWNER PHONE: 406-579-9235 TOWNER EMAIL: dlcenoggle@hotmall.Com CONTRACTOR NAME: SEATOWN ELECTRIC CORP. CONTRACTOR ADDRESS: STREET 4341 BROADWAY cnv EVERETT STATE WA Z,, 98201 CONTRACTOR PHONE:206-9054946 1CONTRACTOR EMAIL: PERMITS aOSEATOWNSERVICES.COM CONTRACTOR LIC.#(REQUIRED):SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53916 PRIMARY CONTACT: WNER ONTRACTOR LJIOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-905-4946 Bekah Swanson CONTACT EMAIL: permits@SeatownServiceS.com AGREEMENT:1 hereby certify that I have read and examined this application and know the same to be true and correct. A!1 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# OOP II/ 5.//r. ..E(..,,,:g,, ..")...... ...._ (:)2___ \ i 1 Owne„- wilted Agent Signature i Datei (Revised 10/30/2018)