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RECTRICAL PERMIT APPLI TION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 510 View Ridge Drive BUILDING AREA: sq ft <br /> PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: 0 SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK: $ 1,850 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> 50amp circuit, disconnect and hookup of owner supplied hot tub. <br /> Nn t � vim -- n patio Ec nc zard, with. in r9guir�d s tba <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder ❑,° ircuits-#:1 i ❑ Complete Re-wire <br /> LOW VOLTAGE WORK? ✓❑ NO ❑ YES-#of Devices: <br /> SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑ Audio 1 ore Access ❑ Security System <br /> ❑ Fire Alarm- Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑ Other(List All): <br /> CODE COMPLIANCE <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑ NO ❑ YES--See Below&Pg. 2 <br /> 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 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: LINO DYES-See Below&Pg. 3 <br /> Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease <br /> without the proper electrical licensing and certification,or exemption. By checking this box, I am stating that I have completed and <br /> See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME: Melissa Walker-Sullivan TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 510 View Ridge Drive <br /> cm, Everett STATE WA ZIP 98208 <br /> OWNER PHONE:(206) 898-2120 OWNER EMAIL:walkersullivan@gmail.com <br /> CONTRACTOR NAME: Full Spectrum Design <br /> CONTRACTOR ADDRESS: STREET4859 Alpine Drive <br /> CITY Everett STATE WA Z,P 98203 <br /> CONTRACTOR PHONE:425-33 CON" j JR EMAIL: fullspectrumdesign@hotmail.com <br /> hotmail.com <br /> CONTRACTOR LIC.#(REQUIR ):FULLSD*044KG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):#0 19 5 <br /> PRIMARY CONTACT: ❑O ER ✓❑CONTI I.,R ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-330-5469 <br /> Daniel g a n CONTACT EMAIL: fullspectrumdesign@hotmail.com <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> 1 '/4 6/15/2020 E aoco , _ <br /> Owner/Authorized Ag nt Si ture Date (Revised 1/11/2019) Page 1-Application <br />