2814 HEWITT AVE 2023-11-28 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES , EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON + (P)425-257-8810 1(E)PermitServices@everettwa.gov I www.everettwa.gov/permits. y , 04 PROJECT ADDRESS:2814 Hewitt Ave BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL a, F , w r<. mw CONTRACT PRICE OF.WORK:$0 ASSOCIATED BUILDING PERMIT It(if applicable): DESCRIBE SCOPE OF WORK: We had a fire.The PUD turned the power off out of caution.We need an inspection to get the OK for them to tum the power back on. We had a fire.The PUD turned the power off out of caution. We need an inspection to get the OK for them to turn the power back on. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑YES-Select Scope:❑Service ❑Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? NO ❑YES-#of Devices: 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): ,. REP 2 W >, "*�i^ NAME 9a'etu.."�.xy � IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓ NO' LJYES--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:[]NO ❑✓YES-See Below&Pg. ElPursuant to RCW 19.28.261, property owners and leaseholders cannot,perform electrioal work on buildings for rent,sale,or lease without the proper electrical licensing and certification,or exemption. By checking this box, I am stating that 1 have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. �u OWNER NAME:Blglund, LLC TENANT BUSINESS NAME(If Commercial):Bao BOSS OWNER MAILING ADDRESS: STREET2820 Hewitt Ave Qp CITY Everett STATE V V��/A ZIP 9820.1 OWNER PH NE:206-499-4559 OWNER EMAIL:allisahul@yahoo.COm CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY - STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): _ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: L1 CONTACT PHONE:206-4994559 AI I Isa Hui I CONTACT EMAIL:allisahui@yahoo.com AGREEMENT.,l hereby certify that l 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 constrtiction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only -- PERMIT#: 7/21 /22 E Owner/Authoriz d Agent Signature Date (Revised 4/5/2022) Page 1-Application