312 TRENTON PL 2020-04-02 - Laserfiche WebLink

"411P„N., ELITRICAL PERMIT APPLIC=m0N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.govipermits PROJECT'SITE INFO RMA ION PROJECT ADDRESS: 312 Trenton Place BUILDING AREA: sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑✓ SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL LECTRICAL AP:,PLICAT ON INFORMATION &DESCRJPTION OF WORN „ CONTRACT PRICE OF WORK:$ 600 ASSOCIATED BUILDING PERMIT#(if applicable): M1904-105 DESCRIBE SCOPE OF WORK: Circuit for AC THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO 0 YES-Select Scope:❑Service ❑ Feeder ❑✓ Circuits-#:1 ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat 0 Audio ❑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): CODE`aCONIPLI'ANCk IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO U 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: ONO DYES-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 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 INFORMATION :' ' OWNER NAME: Shelli Ward Trust TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 312 Trenton Place art Everett STATE WA ZIP 98208 OWNER PHONE:425 350-0944 OWNER EMAIL:traceyirodrigue@gmail.com CONTRACTOR NAME: Always Current Electric Inc CONTRACTOR ADDRESS: STREET720 N. 10th St Suite A 403 cay Renton STATE WA Zip 98057 CONTRACTOR PHONE:206 793-7920 CONTRACTOR EMAIL:rance@alcuelectric.com CONTRACTOR LIC.#(REQUIRED):ALWAYCE843QB ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 056460 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 793-7920 Rance Pedersen CONTACT EMAIL:rance@alcuelectric.com AGREEMENT:I 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 lam 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# - 6 - 0 E O ,,: I./Authorized Agent Signet Date (Revised 1/11/2019) Page 1-Application