3814 W MUKILTEO BLVD 2021-09-07 - Laserfiche WebLink

I `!INN ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@e�verettwa.gov I www.everettwa.govfpermits P RWIECT- .�a - i / T ....„...:-,... PROJECT ADDRESS: 3814 W Mukilteo Blvd BUILDING AREA: 1104 sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION [i TENANT IMPROVMENT El REMODEL BUILDING USE: ©SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL CONTRACT PRICE OF WORK:$ 8,535 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Re-wire of upstairs and laundry room, including a sub-panel on main floor THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ©YES-Select Scope: Service ❑ Feeder Cl Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? © NO ❑ YES-#of Devices: SELECT SCOPE(REQUIRED) ❑ Data ❑ Intercom El Thermostat ❑Audio El 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): 4'y COMM ILIANCE .: 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 ail 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: ENO 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: Lisa Wilson TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3814 W Mukilteo Blvd ciTv Everett STATE WA zip 98203 OWNER PHONE:425-339-0852 OWNER EMAIL:aarong@donerightcontruct.com CONTRACTOR NAME: D&K Electric, Inc. CONTRACTOR ADDRESS: STREET PO Box 2117 CITY Lynnwood STATE WA zip 98036 CONTRACTOR PHONE:425-742-7654 CONTRACTOR EMAIL:dandkelectric@comcast.net CONTRACTOR LIC.#(REQUIRED):DKELEK970KK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 040151 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ©OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206)793-1418 Rex CONTACT EMAIL:dandkelectric@comcast.net AGREEMENT I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of taws and ordinances governing this type or work win 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*: 0;2019 E 01 D -ZI 1 finer/Auth rtmcLAyenY nature Date (Revised 1/11/2019) Page 1-Application