3807 FRIDAY AVE 2021-12-10 - Laserfiche WebLink

ELECTRICAL PERMIT APPLATION 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 SI"»1NFARMATIIOH �. 7777777' PROJECT ADDRESS: 3807 Friday Ave, Everett, WA, 98201 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ®SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL 411CTRICALIWPLICATIONINFORIPM0111410ESORIPTION C F;W CONTRACT PRICE OF WORK:$ 1,050 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Add two new 20 Amp dedicated GFCI protected Circuits for walk in Tub 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 El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑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. ❑Other(List All): CODE COMPy�r �i>i IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: NO El 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: ONO DYES-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. 171 OWNER NAME:John VAnwell TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3807 Friday Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Pro.COr CONTRACTOR ADDRESS: sTREET2033 6th Ave #236 CITY Seattle STATE WA ZIP 98121 CONTRACTOR PHONE:206.429.8327 CONTRACTOR EMAIL:ZaCkw prO.corn CONTRACTOR LIC.#(REQUIRED):PROCOSL844PP CITY OF EVERETT BUSINESS LIC.#(REQUIRED):56431 . PRIMARY CONTACT: DOWNER ®CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206)771_3680 Naseer A. Sabr CONTACT EMAIL:naSeerS C/ pro.corn AGREEMENT-I hereby certify that/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#: 8/13/2019 E -19?)15 Ow ut orized Agent Signature Date (Revised 1/11/2019) Page 1-Application