1804 HEWITT AVE 2022-05-12 - Laserfiche WebLink

01; 13/2020 14 : 41 #4590 P. 001/001 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET.EVERETT,WA 98201 WA INGTON (P)425-257-8e10 I FAX426-257-8857 I(E)everettepsepeverettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 1804 HEWITT AVE BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION LI ADDITION ✓❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX LI AIU Cl MULTI-FAMILY-#OF UNITS: ✓❑COMMERCIAL T'cr.. - — — 1'7 CONTRACT PRICE OF WORK:$ 10000 !ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: - UPGRADE SERVICE DISCONNECT AND FEEDERS FROM 600 AMPS TO 800 AMPS FOR 35 APARTMENTS USE THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) - LINE VOLTAGE WORK? El NO .YES-Select Scope: Q Service Feeder ❑Circuits-#:_ ❑Complete Re-wire LOW VOLTAGE WORK? El NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat El Audio El 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 All): T IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE AF CILITIES: Q NO rjr 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: ✓CNO DYES-See Below&Pg. 3 n 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. z.,-,.,. ,'� , • • y .. ' t .�; •:.,gin ;. OWNER NAME: PETE SIKOV TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO BOX 12577 c,Tr EVERETT STATE WA aP 98206 OWNER PHONE:206.679,4510 OWNER EMAIL: CONTRACTOR NAME: EYLANDER SALES & SERVICE CONTRACTOR ADDRESS: sTRF r3601 EVERETT AVE cny EVERETT STATE WA aP 98201 CONTRACTOR PHONE:425.259-2161 CONTRACTOR EMAIL:jceyiander@yahoo.com CONTRACTOR LIC.#(REQUIRE0):EYLANSS142LP CITY OF EVERETT BUSINESS LIC.#{REQUIRED):016363 PRIMARY CONTACT: DOWNER ]CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: A E CONTACT PHONE:425.231.2275 JC CONTACT EMAIL:jceylartder@yahoO.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 end 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 298.200 WAC- City of Everett Official Use Only PERMIT#: Owner u horiz Agent Signature Date (Revised 111112019) Page 1-Application