2732 BAKER AVE 2022-01-19 - Laserfiche WebLink

IRLECTRICAL PERMIT APPLIPATION OL CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 l FAX 425-257-8857 i (E) everetteps@everettwa.gov l www.everettwa.go i s -,, PROJECT SITE INFORMATION PROJECT ADDRESS: 2732 Baker Avenue BUILDING A A: 1756 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ✓❑ MODEL BUILDING USE: ❑✓ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - OF UNLT§ ❑COMMERCIAL ELECTRICAL. APPLICATION INFORMATION 1 DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 11200 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: Whole Home Rewire, 200AMP Service and Panel Upgrade THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES - Select Scope: 0 Service ❑ Feeder ❑ Circuits-#: ✓❑ Complete Re -wire LOW VOLTAGE WORK? ✓❑ NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ 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 AIL): CODE COMPLIANCE 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: ✓ NO YES -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: Chris Warner TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET 2732 Baker Avenue �,-,y Everett STATE WA ... 98201 OWNER PHONE: (206) 941-4306 OWNER EMAIL: chriswarner49@hotmail.com CONTRACTOR NAME: Seatown Electric Corp. CONTRACTOR ADDRESS: STIEET3431 Broadway CITY Everett STATE WA z,P 98201 CONTRACTOR PHONE: 425-270-1623 CONTRACTOR EMAIL: permits@seatownservices.com CONTRACTOR LIC. #(REQUIRED): SEATOEC804137 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 53916 PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Bekah Swanson CONTACT PHONE: 425-270-1623 CONTACT EMAIL: permits@seatownservices.com uc y 1111y rndi r udve reau anu exmruneu ims appitcaoon and Know me same ro oe rrue ano correct. All provisions or caws 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 #: plz� 2/26/2020 E Zco2 — 2 \ ,Z Owner/Author" of gent Signature Date (Revised 1/1112019) Page 1-App ication