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16.7 !.�.....— • ■ —w/ it • .—....•• • /-1• • bin V/-1 ■ !�/{. <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT 3200 CEDAR STREET,EVERETT.WA 98201 <br /> wASH�noToN (P)425-257-8810 I(E)PermitServices@everettwa.gov I www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:706 32nd St B BUILDING AREA: 616 sq ft <br /> PROJECT TYPE: ❑✓ NEW CONSTRUCTION C ADDITION C TENANT IMPROVMENT ❑REMODEL <br /> BUILDING USE: C SFR ._...TOWNHOUSE C DUPLEX C ADU ❑MULTi-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF,WORK <br /> CONTRACT PRICE OF WORK: $10,000.00 ASSOCIATED BUILDING PERMIT#(if applicable):B2111-02 <br /> DESCRIBE SCOPE OF WORK: Wire new ADU with 200 amp overhead service <br /> Wire new ADU with 200 amp overhead service <br /> THIS INSTALLATION INCLUDES THE FOLLOWING�, SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? C NO 1" YES-Select Scope:u Service ❑Feeder L Circuits-#: 15 C Complete Re-wire <br /> LOW VOLTAGE WORK? El NO <br /> NO 0 YES-#of Devices: 1 <br /> SELECT SCOPE(REQUIRED): Data C Intercom C Thermostat C Audio C Secure Access ❑Security System <br /> Cl Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An <br /> additional Fire Alarm Permit is required for review of device location and installation approval. <br /> ❑Other(List All): <br /> CODE COMPLIANCE T <br /> IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: IDNO L1 YES--See Below&Pg.2 <br /> LI 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 <br /> 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 <br /> See Page 2 require Plan Review. <br /> ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:ENO EYES-See Below&Pg. <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:DaVid & Cassie Franklin TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 706 32nd Street <br /> CITY Everett STATE WA ZIP 98241 <br /> OWNER PHONE:206-790-5721 OWNER EMAIL:david.franklin@gmaii.com <br /> CONTRACTOR NAME:Hansen Electric Inc <br /> CONTRACTOR ADDRESS: STREET 6106 55th Ave NE <br /> CITY Marysville STATE WA ZIP 98270-4107 <br /> CONTRACTOR PHONE:360-926-3397 CONTRACTOR EMAIL:electricdaveh@yahoo.com <br /> CONTRACTOR LIC.#(REQUIRED):HANSEEI012PA CITY OF EVERETT BUSINESS LIC.#(REQUIRED):63875 <br /> PRIMARY CONTACT: DOWNER EICONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-909-8848 <br /> D a v i ci Hansen CONTACT EMAIL:electricdaveh@yahoo.com <br /> AGREEMENT:l 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> PERMIT#: <br /> g;\---------- 10/24/22 E <br /> Owner/Authorized Agent Signature Date (Revised 4/5/2022) Page 1-Application <br />