3114 OAKES AVE 2022-02-15 - Laserfiche WebLink

Nom R ECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everrjetteps@everettwa.gov I www.everettwa.gov/permits >' P C MW.': �II*•. T1 PROJECT ADDRESS: 3114 OAKES AVENUE, EVERETT WA 98201 BUILDING AREA: N.A sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ✓❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL E Ic$.AIPPILIIC41r10 FORMA., 14 & DE PTI F WORK4. . CONTRACT PRICE OF WORK:$ 650 ASSOCIATED BUILDING PERMIT#(if applicable): N.A DESCRIBE SCOPE OF WORK: 618371 ZG - 77 - (1) ADDED CIRCUIT THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder ✓❑ Circuits-#:1 ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑ Secure Access ❑ Security System ❑ 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 Alp): yy IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO U 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: ENO EYES-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. OWNER NAME: BLACK LORRAINE MARIE GENE TENANT BUSINESS NAME(If Commercial OWNER MAILING ADDRESS: STREET 3114 OAKES AVENUE ciTv EVERETT STATE WA ZIP 98201 OWNER PHONE:N.A. OWNER EMAIL:N.A. CONTRACTOR NAME: VECA ELECTRIC AND TECHNOLOGIES, LLC CONTRACTOR ADDRESS: sTREET3950 HAMMER DRIVE , SUITE 109 ciry BELLINGHAM STATE WA ZIP 98226 CONTRACTOR PHONE:206-900-5965 CONTRACTOR EMAIL:ZACHARY.GRAHAM@VECA.COM CONTRACTOR LIC.#(REQUIRED):VECAEET82100 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-325-5750 ZACHARY GRAHAM 1 CONTACT EMAIL:ZACHARY.GRAHAM@VECA.COM 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 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#: E609 - 2;1 09.18.2019 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application