1901 MERRILL CREEK PKY HEARTHSTONE APTS 2020-12-29

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857y1(E)everrketteps.r@everettwa.gov I www.everettwa.gov/permits ;.1''.,... PRO.IECY SITE,:1NFat...RMAT ON PROJECT ADDRESS: 1901 Merrill Creek Parkway Everett WA 98203 BUILDING AREA: 400 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT 0 REMODEL BUILDING USE: ❑SFRWNH'USE ICI DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS:250 ❑ COMMERCIAL Eta 14AL A .,*UCATJ.1 . ION +l DE �S [ 1 OFWORK. CONTRACT PRICE OF WORK: $ 500. ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIBE SCOPE OF WOK 4 Had small back porch,fire. Loo ed at 1 duplex receptacle, 1 back porch light, 1 light switch,and 1 baseboard heater, as n the unit breaker box. No electrical work performed. cam. LcOK THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APP Y) LINE VOLTAGE WORK? ElNO 7YES-Select Scope: CIService ❑ Feeder b Circuits-#:� ; ❑ Complete Re-wire LOW VOLTAGE WORK? NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat El Audio ❑Secure Aebess ❑Security System ❑ Fire Alarm-Installations under this permit only include ele ical wrough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. 0 Other(List All):N/A CODE COMPLIANCE 3�s IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ 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: ONO EYES-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. OWNER NAME: TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Sons Electric,lnc. CONTRACTOR ADDRESS: STREET 3701 Harrison Ave CITY Centralia STATE WA ZIP 98531 CONTRACTOR PHONE:360-556-6520 'CONTRACTOR EMAIL:billw@sonselectric.com CONTRACTOR LIC.#(REQUIRED) SONSEEI942MC (CITY OF EVERETT BUSINESS LIC.#(REQ RED): / ¢` I � PRIMARY CONTACT: EOWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) On site maintenance _ - CONTACT NAME: CONTACT PHONE:425-530-6670 cell Steve Askew CONTACT EMAIL:saskew@udr.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#: S. U acis_ 10/22/019 E Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application