2906 47TH ST SE 2022-05-23 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASWNGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa-gov I www,everettwa.gov/permits PROJECT ADDRESS: 2906 47th St SE IBUILDING AREA: sq ft PROJECT TYPE: Z NEW CONSTRUCTION 0 ADDITION L-1 TENANT IMPROVMENT 1:1 REMODEL BUILDING USE: SFR ❑ TOWNHOUSE [I DUPLEX ❑ ADu F] MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL T FC, RICALAPIPLICA"N IINFORMATIONs &DEOCRIPTION OF WORWI,' CONTRACT PRICE OF WORK: s 250 JASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: 100 amp temp power Lot 365 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? NO ❑ YES - Select Scope. 0 Service ❑ Feeder E Circuits-#:_ 0 Complete Re -wire LOW VOLTAGE WORK? NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data E Intercom 0 Thermostat ❑ Audio ❑ Secure Access El 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, E� Other (List All): IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH ANDIOR PERSONAL CARE FACILITIES: 7/ NO 0 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: 7/ NO 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 F-1 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 licensinglcertification requirement. JOWNER NAME: Polygon Homes TENANT BUSINESS NAME (if Commercial): IOWNER MAILING ADDRESS: 111EIT 11624 SE 5th St Ste 100 I ,,, Bellevue STATE WA ztP 98005 1 DOWNER PHONE: (OWNER EMAIL: I (CONTRACTOR NAME: Garner Electric WA LLC I [CONTRACTOR ADDRESS: STREET 402 Valley Ave NW Ste 106 1 I cr,, Puyallup STATE WA ,, 98371 1 ICONTRACTOR PHONE: 253-872-6051 (CONTRACTOR EMAIL: pvantol@gweusa.com I CONTRACTOR LIC. #(REQUIRED): GARNEEW864KB ICITY OF EVERETT BUSINESS LIC. #(REQUIR.ED..).: 052909 CONTACT: ONTACT: F,_10VvNPP f7CONTPACTOR DOT149P (Plo.,.. Sp..ify) CONTACT NAME: Paul Vantol ICONTACT PHONE: 253-278-7064 1CONTACT EMAIL: pvantol@gweusa.com i ne granting or 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 �;� ^Q, 4, 1/14/2020 Owner/Authorized Agent Signa(u're Date (Revised 1/1112019) Page I -Application