6518 ELLIOTT WAY 2022-01-13 - Laserfiche WebLink

• ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3280 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-2 857 I(E)everetteps@everettwa.gov I wuvw.everettwa.govipermits WASHINGTON wir4I — iiAThuVrefir 1111 UEi PROJECT ADDRESS: 6518 Elliot WAY Un t B erett 98203 BUILDING AREA: sq ft PROJECT TYPE: CI NEW CONSTRUCTION 0 A ITION El TENANT 1MPROVMENT 21 REMODEL BUILDING USE: El SFR El TOWNHOUSE El DUPLEX 0 ADU 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL EIXCTRICA AfPxick litATION & DESCRIPTION OF WORK- - CONTRACT PRICE OF WORK:$ 1500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: (3) alter circuits to replace (6) baseboard heaters THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO YES-Select Scope:El Service El Feeder El Circuits-#:3 El Complete Re-wire LOW VOLTAGE WORK? El NO 0 YES-#of Devices: SELECT SCOPE(REQUIRED): C]Data El Intercom 1:1 Thermostat El Audio El Secure Access El Security System 0 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): „ \A•cUIIIIII M! , i OMPUANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO El YES—See Below&Pg.2 El By checking this box, I am stating that I have read and understand all of WAG 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 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. , ANOPPOIATIk , ellialq4;` OWNER NAME: Kittel Residence TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6518 Elliot Way Unit B cm( Everett STATE WA ZIP 98203 OWNER PHONE:na OWNER EMAIL:na CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: sTREET1830 117th DR SE CITY Lake Stevens STATE WA „ 98258 CONTRACTOR PHONE:4287803203 CONTRACTOR EMAIL:ihepermits@gmail.com CONTRACTOR LIC.#(REQUIRED):inhoues952qg JCITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: [DOWNER [DCONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4287803203 kelsey CONTACT EMAIL:kelsey@inhouseelectric.com AGREEMENT:(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 p finance of construction. That!am authorized by the owner of this property to perform the work for which application is made and comply ' the Stet Contractors 18.2 ROW and 296.200 WAC, City of Everett Official use Only PERMIT#: (-- -- er/Authortzed ent Sig ture Date (Revised lif I/2019) Page 1-Application