4808 VIEW DR 2020-05-21 - Laserfiche WebLink

., ,ELECTRICAL FRMIT & FIRE ALARM P&MIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4202 View Dr. PROJECT TYPE: rgI NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: lia SFR ❑TUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL BUILDING AREA: (, GC'6 sq ft ECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ Z1000 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? S NO 0 YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Klee q .w Ch.4-4 Cil e i ga KA e /opµ Sub panel frowt boht.,<e. IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Na 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:RINO OYES-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 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: pd,!/as tare//Dh TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET ygO, ? View Or. CITY L VLpI G.7� , WA , STATE Plil+ ZIP 18248 OWNER PHONE: ei2 5-•23V'- /'l5O OWNER EMAIL: CONTRACTOR NAME: ,r..µpa C7L 67#C7r7'Cc a/ SerV l Ce.S CONTRACTOR ADDRESS: STREET 107 2.1 74 are Se an, Evert /f (STATE kat _ / ZIP qgzR O CONTRACTOR PHONE: �ll-qq/-6427 CONTRACTOR EMAIL:atidre&A) I ' petc/-e/�@C+i(GlAiit/•!ON^ CONTRACTOR LIC.#(REQUIRED): /pi P4C ES 23.E es ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): '(p 2.5 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: zee, C(If-GA64'27 rec /3a/Te s CONTACT EMAIL: 4I�t I"CLt)e I/I�tioct G7-e le L/Y`%Cwt/NA/. (a 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!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# 1DetI1 C �0C ,020 Owner/A orize Agent Signature (Revised 11/5/2018) Page 1-Application