6017 W BEECH ST 2021-11-01 - Laserfiche WebLink

E CTRICAL PERMIT APP .IC�ION E CITY OF R> i I PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WA FUN-TON (P)425-257-8810 i FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: \ 1p.„ BUILDING AREA: sq ft PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT 0 REMODEL BUILDING USE: >1 SFR El TOWNHOUSE ❑DUPLEX 0 ADU 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL CONTRACT PRICE OF WORK: $ ' Cj ASSOCIATED BUILDING PERMIT,#(If applicable): DESCRIBE SCOPE OF WORK: -T 1t V ': . 4- f t, Oc r .0 R ` A C 4 c :{ r Ar,. eX V-t THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? _NO EKES-Select Scope: El Service ❑Feeder Circuits-#: 4 El Complete Re-wlro LOW VOLTAGE WORK? i NO YES-#of Devices: SELECT SCOPE(REQUIRED): 0 Data Cl Intercom Thermostat [Audio 0 Secure Access ❑Security System El 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. 0 Other(List All): rr;, tFiligilI # 7 �° �v� .. aNi�x:'ire k -„ Ea U ��{.�t} � � �(al � ��5a«�� srartic ';m` v - IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: CO. NO YES--See Below&Pg.2 CBy checking this box,I am stating that I have read and understand all of WAC 296-d8B-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 OYES-See Below&Pg.3 El Pursuant to RCW 19,28.261,property owners and Ieasehoiders 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 licensinglcertification x, requement,, P , 't. ,.„,, a ., ;R r �y ¢¢ r s . , OWNER NAME: " 'Et2)Verl TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET ti9D ll '?2! . . CR? rA t.'-', j STATE V Pt Zli' G 1/ , OWNER PHONE: ( 1,9ZZ OWNER EMAIL: , , CONTRACTOR NAME: Brennan Heating CONTRACTOR ADDRESS: sTREET4 01 S 134th PI cm Seattle STATE Wa zol 98168 CONTRACTOR PHONE:206-248-7900 CONTRACTOR EMAIL:jaimie@brennanheating.cam CONTRACTOR LIC.#(REQUIRED):BRENNHA962DU CITY OF EVERETT BUSINESS LIC.#(REQUIRED):028230 PRIMARY CONTACT: [DOWNER (CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: HowLJ, CONTACT PHONE:206j-248-7900 J a i m i e H CONTACT EMAIL:jaimie@brennanheating.com , AGREEMENT:t hereby certify that I have mad and examined this appl,,cat m and know the same to be true end 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 authort'ty to violate or ca l the provisions of any other state or local I regulating construction or the performance of construction. That I am authorized by the owner of this property to podorm the work Tor which application is made and I co ply v rth the State Contractors Law i8.27 RCW and 296.200 WAC. City of Everett Official Use Only ,.........„ E2�22L nor/Authorized Agent Signature Date PERMIT#:(Revised i/1i/20i9) Page 1-Application