615 WETMORE AVE 2022-01-13 - Laserfiche WebLink

• 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)eyeretteps@everettwagov WWW everettwa,gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 615 Wetmore Avenue BUILDING AREA: " sq ft PROJEC I TYPE: Li NEW CONSTRUCTION El ADDITION Li TENANT IMPROVMENT LiREM,ODE BUILDING USE: Lsz_l SFR E]TOWNHOUSE LI DUPLEX El ADU Li MULTI-FAMILY-#OF UNITS: 111 COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION F.,WORK CONTRACT PRICE OF WORK:$ 600 ASSOCIATED BUILDING PERMIT#(if pli le): 81910-030 DESCRIBE SCOPE OF WORK: Replace disconnect and hookup of new owner supplied hot tub using existing circuit. -r, - THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO 7 YES-Select Scope: El Service Li Feeder E Circuits-#: Li Complete Re-wire LOW VOLTAGE WORK? NE NO Lii YES-#of Devices. SELECT SCOPE(REQUIRED) Li Data Li Intercom El Thermostat El Audio El Secure Access El 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. 7 Other(List Ally CODE COMPLIANCE 77. IS THIS PERMIT EDUCATION; INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 7 NO n YES--See Below&Pg 2 By checking this box. I am stating that i have read and understand all of WAC 296-468-900,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: LJNO DYES-See Below&P . 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 licensinglcertification requirement. CONTACT INFORMATION-1 OWNER NAME: Robin &John Schwartz TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: „Rev. 615 Wetmore Avenue Everett STATE WA z,,98201 OWNER PHONE:(425) 737-2331 OWNER EMAIL: j CONTRACTOR NAME: Full Spectrum Design CONTRACTOR ADDRESS: STREET 4859 Alpine Drive cm, Everett s- WA zip 98203 CONTRACTOR PHONE:425-330-5469 CONTRACTOR EMAIL:fullspectrumdesign@hotmail.COM CONTRACTOR LIC.#(REQUIRED):FULLSD*044KG CITY OF EVERETT BUSINESS LIC:#(REQUIRED):028519 PRIMARY CONTACT: [ OWNER E1CONTRACTOR nOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 737-2331 Robm 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 pro visions of any other state or local law reguiatmg construction or the performance of construction That I am apthonced by the owner of this property to perform the work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only PERMIT#. ' E 2A.0 Owner/Authorized Agent ignat e ."---67t7114- 371:( 4 1 (Revised Ill/120M Page 1-Application -