3719 SMITH AVE 2023-04-07 - Laserfiche WebLink

EllipTRICAL PERMIT APPLICOTION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)"425-257-8810 i'(E)Permit5etvices(cpeverettwa,gov I www.everettwa.govipermits PROJEC` `'S-1T E INFO" 10 ,_. PROJECT ADDRESS:3719 Smith Ave BUILDING AREA: 2000 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION QADDITION ElTENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: a✓ COMMERCIAL r � , *ECTRICAVAPPLICA ION[NFA MAT N „PEs Rii ' . tti! ' ..,, � ,.... - CONTRACT PRICE OF WORK:$750 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Low Voltage AES Radio Add to existing FACP for communiacation Low Voltage AES Radio Add to existing FACP for communiacation THIS INSTALLATION INCLUDES ST�THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? LJ NO YES-Select Scope:El Service ❑Feeder ❑Circuits-#: 12 Complete Re-wire LOW VOLTAGE WORK? ❑NO El YES-#of Devices:1 SELECT SCOPE(REQUIRED): El Data ❑Intercom ❑Thermostat 0 Audio Q Secure Access El Security System ElFire 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. AES Radio Communication El Other(List AlI):n .. CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO Li YES--See Below&Pg.2 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 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. (—' Pursuant to RCW 19,28,261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease I. 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. -S+ ONTA.CT.INFORMATION OWNER NAME:EVergreen Moving Systems TENANT BUSINESS NAME(If Commercial):Evergreen Moving Systerr OWNER MAILING ADDRESS: sTREET15835 Preston Place CITY Burlington STATE WA ZIP98233 OWNER PHONE:(425) 252-7200 OWNER EMAIL:evergreenmovingtcr�hotmail.com. CONTRACTORNAME:Guardian Security CONTRACTOR ADDRESS: STREET1501 Kentucky Ave CITY Bellingham STATE WA Z,P98225 CONTRACTOR PHONE:(360) 647-0110 CONTRACTOR EMAIL:amarris@guardiansecurity,Com CONTRACTOR LIC.#REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0033443 PRIMARY CONTACT: DOWNER. ['CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360) 647-0110 EX 328 Adi Morris CONTACT EMAIL: amorris@guardiansecurity.com 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 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 lam authorized by the owner of this property to perform the work for which application Is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett.Official Use Only. PERMIT#: A\Cdt E Owner/Authorized Agent Signature Date (Revised 4/5/2022) Page 1-Application