2815 17TH ST 2022-07-13 - Laserfiche WebLink

owl ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 I(E)everetteps@everettwa.gov I vAirweverettwa.gov/permits WASHINGTON PROJECT SITE INFORMATION PROJECT ADDRESS: 2815 17th ST Everett 98201 BUILDING AREA: sq ft PROJECT TYPE: CI NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT El REMODEL BUILDING USE: 0 SFR El TOWNHOUSE El DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: C)COMMERCIAL ELECTRICALAPPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 2000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: (4)20 amp circuits to kitchen THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? CI NO EI YES-Select Scope:CI Service CI Feeder E1 Circuits-#:4 CI Complete Re-wire LOW VOLTAGE WORK? 0 NO 0 YES-#of Devices: SELECT SCOPE(REQUIRED): CI Data El Intercom 0 Thermostat CI 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. El Other(List All): CODE COMPIJANCIEW IS THIS PERMIT EDUCATION,INSTITUTIONAL HFAI TH AND/OR PERSONAL CARE FACILITIES: [71 NO El YES—See Below 8 Pg.2 riBy checking this box,I am stating that I have read and understand all of WAC 298-489-900,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:ONO OYES-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 FT 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. • CONTACT INFORMATION OWNER NAME: Michael Hanes TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2815 17th ST Everett air,,,E WA zsp 98201 OWNER PHONE;na OWNER EMAIL:na CONTRACTOR NAME: In House Electric CONTRACTOR ADDRESS: STREET 1530 117th DR SE coy Lake Stevens STATE WA zip 98258 CONTRACTOR PHONE:4257603203 CONTRACTOR EMAIL:ihepermits@gmail,com CONTRACTOR LIC.#(F?EOUIRED):inhoues952qg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: DOWNER [ ]CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4253209149 Kelsey CONTACT EMAIL:kelsey@inhouseelectric.corn AGREEMENT:I hereby certify thtl have read and examined Ibis application and know the same to be trite and correct All provisions of laws and arcane 3 goiwmirrg 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 la regulating construction or a pa once of construction. That lam authorized by the owner of this property to perform the work for which application is made and t ply h the Slat ontract Law 18.2 RCW an 8.200 WAC. City of Everett Official Use Only PERMIT U. 7 / r/Auttiorized tore •ale (Revised 1/11/209) Page I-Application Scanned with CamScanner