732 WETMORE AVE B 2020-06-15 - Laserfiche WebLink

ELECTRICAL F ZMIT & FIRE ALARM P Z.MIT APPLICATION ,IP4V- 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.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:732 Wetmore Ave Everett Wa 98201 PROJECT TYPE: ® NEW CONSTRUCTION ADDITION TENANT IMPROVMENT REMODEL BUILDING USE: ❑ SFR 0 TOWNHOUSE [DUPLEX ❑ .DU 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL BUILDING AREA: \ 5 t 2 sq ft _, EL TRI AL APPLICATION i OOMATION �, CONTRACT PRICE OF WORKr,$ 3 CO ) ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? 0 NO ❑ ES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? El NO 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: -Standard Residenta+t-E{ectricat for new ADU and garage V) .2_t_.`n THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: la 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. ATTENTION OWNERS: THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: laPursuant 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: Derick Evans TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 732 Wetmore Ave cm( Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Jon Nawfel / L C ,. P,.•f,,,L CONTRACTOR ADDRESS: STREET 11314 27th Ave SE cm, Everett STATE WA ZIP 98208 CONTRACTOR PHONE: (425) 330-1185 CONTRACTOR EMAIL: J4 00 CONTRACTOR LIC.#(REQUIRED):ACEREEI914B3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):-NAVW J*9701V PRIMARY CONTACT: i2 OWNER ❑ ;ONTRACTOR nOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-445-4587 -Derick Evans \,3\,3DK) ty \�JP1l CONTACT EMAIL: evanS_derick@hotmall.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 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# � 71 Owner/Authorized Agent Signature Date (Revised 10/30/2018) '"