Laserfiche WebLink
111 111 <br /> ELECTRICAL PERMIT APPLICATION <br /> . CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 (E)everetteps@everettwagov 1 www.everettwa.govrpermits <br /> T <br /> PROJECT ADDRESS: 8303 5th Avenue West BUILDING AREA: 1,096 / I r <br /> PROJECT TYPE: NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT 1:1 REMODEL <br /> BUILDING USE: El]SFR El TOWNHOUSE El DUPLEX El ADU LJ MULTI-FAMILY-#OF UNITS'1 171 COMMERCIAL <br /> ELEcrRcA 37:\ rETfji -Rly14-110C140400 <br /> CONTRACT PRICE OF WORK:$ 6,907,00 ASSOCIATED BUILDING PERMIT#(if applicable): C1701-009 <br /> DESCRIBE SCOPE OF WORK: <br /> Wire apartment to code. <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? El No YES-Select Scope:El Service Feeder El Circuits-#:15 0 Complete Re-wire <br /> LOW VOLTAGE WORK? El NO El YES-#of Devices:3 <br /> SELECT SCOPE(REQUIRED). El Data El Intercom El Thermostat CI Audio CI Secure Access El Security System <br /> El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> El Other(List All): <br /> 1RIIiI1cooEcoMp1cE <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH ANDIOR PERSONAL CARE FACILITIES: lyj NO LI YES--See Below&Pg.2 <br /> 7 By checking this box,I am stating that I have read and understand all of INAC 296.468.900,selected the specific reason on page 2 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review, <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: EINO EYES-See Below&Pg.3 <br /> — Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease <br /> without the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and <br /> see Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement, <br /> OWNER NAME: Seattle Development Assoc., LLD TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1122 130th Street SE-*A <br /> cry Everett <br /> sTATE WA zip 98208 <br /> OWNER PHONE:206-830-0126 OWNER EMAIL:SDAhomes©gmail,COM <br /> CONTRACTOR NAME; Tughan Electric, Inc. <br /> CONTRACTOR ADDRESS: sTREET 191 1 235th Court NE <br /> Grry Sammamish <br /> STATE WA ZIP 98074 <br /> CONTRACTOR PHONE:425-868-8072 CONTRACTOR EMAIL;Larry@tughanelectric.Com <br /> CONTRACTOR LIC.#(REQuiRED TUGHAE1943BP CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044481 <br /> PRIMARY CONTACT: [DOWNER EICONTRACTOR EOTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-830-0126 <br /> Ed is Kulaga <br /> CONTACT EMAIL:euiSratiagawAinaii.oOrn <br /> AGREEWAir I hereby certify that have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this <br /> 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 <br /> local law regulating construction or the p orrnance of construction. That I am authorized by the owner of this property to perform the work for which application is made and <br /> comply with the tale tractors Law .27 RCW and 2g6,200 WAC. City of Everett Official Use Only <br /> PERMIT# <br /> E c‘c)(. — <br /> 1/29/2019 <br /> er!Aut °axed ignature Date (Revised 1111/2019) Page I-Application <br />