7 W BEECH ST 2021-09-22 - Laserfiche WebLink

11.1 ECTRICAL PERMIT APPLICTION 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;SITE INFORMATION,. u,g. PROJECT ADDRESS: 7 W Beech St BUILDING AREA: 1603 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑✓ SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL ELECTRICAL :A',P .ICATJON:.INFORMATION &DESCRIPTION::CFiWORR CONTRACT PRICE OF WORK: $ 1200 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 200AMP Service Repair, weather damaged mast THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO 0 YES-Select Scope: I Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? 0 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): �.. ,. 400LTE COMPLIANCE ,10! ,. IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below&Pg.2 u Boyf tchhies cakpinp icatsi on x(,s Ie ae mn etxat tipang that A I NDv Pel read evdew u nisd eNrsOtTa nredqlli roefd WbeAcCa u2s9e6-4 Im6eBe0a0ll,osf etlec edlo tw gs pc ifsiecc rteoanss otnot nd op angoe 2 See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO 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. INFORMATION ",. v OWNER NAME: Tammy Klemetsen TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7 W Beech St , Everett STATE WA ZIP 98203 OWNER PHONE:425-239-8985 OWNER EMAIL:tdklemetsen@icloud.com CONTRACTOR NAME: SeatOWn Electric Corp. CONTRACTOR ADDRESS: sTREET3431 Broadway CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-270-1623 CONTRACTOR EMAIL:permitS@SeatOwnServiceS.com CONTRACTOR LIC.#(REQUIRED): JCITY OF EVERETT BUSINESS LIC.#(REQUIRED):53916 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-270-1623 Bekah Swanson CONTACT EMAIL: ...., . 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Bekah Swanson 0 0 ( J 1/14/20 E i - Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application