3706 HOYT AVE 2021-08-26 - Laserfiche WebLink

Elm ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 3706 Hoyt Ave, Evt, WA 98201 BUILDING AREA: 748 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION II TENANT IMPROVMENT El REMODEL BUILDING USE: ❑✓ SFR El TOWNHOUSE El DUPLEX El ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL �g ffi � f �14,7l ,! 0tEla r if z CONTRACT PRICE OF WORK:$ 500,00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Owner will replace knob and tube as well as selective snake skin and other Romex. An estimated number of five outlets will be added in addition to the system. Preliminary investigation suggests two circuits are currently involved, but might need to add a third. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ❑✓ YES-Select Scope: ❑Service El Feeder ❑✓ Circuits-#:2 ❑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 All): - IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO YES—See Below&Pg.2 nI I 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 El 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. • - r. t „>=.�.. ._ �_. >� _.."- � �MM +1 0 ...�5�.�'� OWNER NAME: Glenda Powers TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3706 Hoyt Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-501-8987 OWNER EMAIL:glendalpowers@gmail.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC #(REQUIRED): ICITY OF EVERETT BUSINESS LIC.#REQUIRED): PRIMARY CONTACT: ❑✓OWNER DCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:(,1 CONTACT PHONE:425-501-8987 Glenda Powers CONTACT EMAIL:glendalpowers®gmail.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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Onli PERMIT#: E Zoos-( - L\ r Au orized Agent Signature Date (Revised 1/11/2019) Page 1-ApplleaUon