1617 OAKES AVE 2022-02-15 - Laserfiche WebLink

MIN 0 •i m, ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)42S-25T-8810 I FAX 425-257-8857 l(E)everettopst everettwa.gov I www.everettwa.gov/permits r:7!;; to PROJECT ADDRESS: 1 0 \ -e S kJ-4— - BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION 0 ADDITION tJ TENANT IMPROVMENT Q REMODEL BUILDING USE: E.L SFR 0 TOWNHOUSE El DUPLEX ID ADU ❑MULTI-FAMILY-it OF UNITS: __ El COMMERCIAL d CONTRACT PRICE OF WORK:$ 14 00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Q,‘ 'VIA r VY\ASA- i THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY). UNE VOLTAGE WORK? ( O 0 YES-Select Scope:0 Service D Feeder 0 Crcuits-#: 0 Complete Re-wire LOW VOLTAGE WORK? IffNO 0 YES-#of Devices: SELECT SCOPE(REQUIRED): 0 Data ❑Intercom 0 Thermostat [l Audio ❑ ure Access 0 Security System ❑Fire Alarm-Installations under this permit only include electrica wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. D Other(List All): . . IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: I NO ■ YES—See Below&Pg.2 By checking this box, I am stating that I have read and understand all of WAC 29846B-900,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet al 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 LICEIilSURE: LINO 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 boxkl am stating that I have completed and sea page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. ov w! A , � OWNER NAME:¶ I,x, r ow4---"1 TEN NT BUSINESSf NAME(If Commercial): OWNER MAILING ADDRESS: s nsoi k \le a 3 l• v—-- crTY { STATE U) "— ..(1 GQ k OWNER PHONE:' . O ' (9q OWNER EMAIL: t CONTRACTOR NAME: Brennan Heating CONTRACTOR ADDRESS: smtor4601 S 134th PI crrr Seattle STATE Wa ztt, 9816E , CONTRACTOR PHONE:206-248-7900 CONTRACTOR EMAIL:jaimie@brennanheating.Com CONTRACTOR UC.#(REQUIRED):BRENNHA962DU ICTIY OF EVERETT BUSINESS LAC.#(REQUIRED):028230 PRIMARY CONTACT: DOWNER QCONTRACTOR DOTHER(Please Specify) I CONTACT NAME: JCONTACT PHONE:206-248-7900 ai nie HOW CONTACT EMAIL:jaimie@brennanheating.cam AGREEMENT:I hereby certify that1 have read and examined lhls appear/on and know the same to be true and-coned. All provisions of laws and ordinances governing this typo of work will be coed whether specified heroin or not The grammtd a permit does not presume to p4 authority to violate or cancel the provisions of any other slate or tacar✓e utoting construction or the performance of construction. That tism authorized by the owner of this property to perform the work for Which application is made and f comply w h the Slate Contractors Law 18.27 RCW and 208,200 WAC. 1 City of Everett Official Use Only PERMIT#: 1 bignitq Eli ° 110-- /1 \ /Authorized Agent Signature Da (Revised 1/11/2019) Page 1-Application