Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: 1207 Colby Ave <br />BUILDING AREA: sq ft <br />PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT X❑ REMODEL <br />BUILDING USE: ® SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL <br />ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK <br />CONTRACT PRICE OF WORK: $ 30,000 <br />1ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIBE SCOPE OF WORK: Install 11.75 kW Solar array <br />THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br />LINE VOLTAGE WORK? ❑ NO X❑ YES - Select Scope: ❑ Service Feeder ❑ Circuits-#: ❑ Complete Re -wire <br />LOW VOLTAGE WORK? ❑iC NO ❑ YES- # of Devices: <br />SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure 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: X NO U 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: ONO 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: Josh Markham TENANT BUSINESS NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREET 1207 Colby Ave <br />CITY Everett STATE WA ZIP 98201 <br />OWNER PHONE: 228-547-3667 <br />OWNER EMAIL:fomarkh@gmall.Com <br />CONTRACTOR NAME: Switch Electric LLC <br />CONTRACTOR ADDRESS: STREET 16778 146th St SE Suite 154 <br />Monroe WA 98272 <br />CITY STATE ZIP <br />CONTRACTOR PHONE:425-220-5042 <br />1CONTRACTOR EMAIL: lanae@myswitchelectric.com <br />CONTRACTOR LIC. #(REQUIRED): Switcel910pk <br />ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 052557 <br />PRIMARY CONTACT: DOWNER VCONTRACTOR ❑OTHER (Please Specify) <br />CONTACT NAME: <br />Jeremy Wilms <br />CONTACT PHONE: 425-293-4434 <br />CONTACT EMAIL:Jeremy@mySWltchelectric.Com <br />AGREEMENT: 1 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/ am authorized by the owner of this property to perform the work for which application is made and/ <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only <br />PERMIT #: <br />11/15/2022 JE <br />Owner/Authorized Agent Signature Date (Revised 1/1112019) Page 1-Application <br />