10723 19TH AVE SE B 2023-04-07 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION E��Y� CITY OF EVERETT PERMIT SERVICES 1 3200 CEDAR STREET,EVERETT,WA 98201 11, WASHINGTON {P}425 257-8810 ( FAX 425-257-8857 ((E)everetteps@everettwa.gov l www.everettwa gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 19723 19th Avenue SE - Unit B BUILDIN AREA: 1,829 !l sq ft PROJECT TYPE: ©NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ DEL BUILDING USE: ❑SFR ✓❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: - ❑COMMERCIAL ELECTRICAL APPLICA t ION INFO MATZO 1P "ION OF WORK CONTRACT PRICE OF WORK:$ 7,893.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: � Wire new Townhouses to code. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ©YES-Select Scope: ©Service ©Feeder ❑Circuits-#:24 ❑Complete Rewire LOW VOLTAGE WORK? ❑NO ❑✓ YES-#of Devices:65 SELECT SCOPE(REQUIRED): ❑Data ❑Intercom ❑Thermostat ❑Audio ❑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): r CODE°COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑ Est st 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: AGA Real Estate, LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1208 130th Street SE-Unit B �,T, Everett r,p 98208 STATE WA OWNER PHONE:206 830-0126 OWNER EMAIL:agabuilt@gmaii.com CONTRACTOR NAME: Tughan Electric, Inc. CONTRACTOR ADDRESS: STREET 1911 235th Court NE crry Sammamish STATE WA ,P 98074-4433 j CONTRACTOR PHONE:425-868-8072 CONTRACTOR EMAIL:Larry a@7tughanelectric.com I CONTRACTOR LIC.#(REQUIRED):TUGHAEI943BP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044481 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-830-0126 Ed i s Kulaga CONTACT EMAIL:agabuilt@gmail.com 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 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 wit'the Contract ' 'Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only rPERMIT#: .,.. 10/10/2019 E '''U o - o L Owne/Au I gent Signature Date (Revised 1/11/2019) Page 1-Application