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62 <br /> ELECTRICAL PERMIT LIC T N <br /> CITY OF EVRETT PERMIT SERVICES' <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425457-8810 I FAX 425-257-8857 I(E)everetteps(everettwa,gav I www;everettwa.govlpecmits <br /> ien; .ax ,a roma.s... ?, <br /> PRDJECt ADDRESS:;7333 Beverly LN Everett WA 98263 OustA e( - <br /> PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION 0 TENANT IMPROVMENT 0 REMODEL , <br /> BUILDIN 1 Sa 0-SFR 0 TOWNHOUSE 0 DUPLEX 0 ADO 0 MULTI-FAMILY-it OF UNITS: 0 COMMERCIAL <br /> BUILDING AREA:, sq ft .. w - y <br /> re �3 1:' x, , :i;,,A#:*-Olt„4 yk... .# c.`1 �t:4: a„:•t Citi.«.. ,..@P a a <br /> CONTRACT PRICE:•S)F WORK:s250.00 ASSOCIATED BUILDING PERMIT#(if applicable):. <br /> IS THIS LOW VOLTAGE WORK? 0 NO 0 YES-#OF DEVICES: <br /> ISTIIIS°A,FIRE ALARM PERMIT? El NO 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> Y 3 xis a s_,_OI 1PTIt N t O WAlt a .$ . / �tAli dr<ii�� `•�� S <br /> .a. ,H ,.,a Y,, > .:„a...'a`^aecy.r>. .. „ .T, vr:_ ^ , -_xc::� ,< °s uliS t%ssst... e <br /> 3 a <br /> DESCRIPTION OF WORK add pew circuit for fire alarm panels <br /> IS THIS,PERMIT EDUCATION,INSITUTlONAL,HEALTHR;AND/OR PERSONAL CARE FACILITIES: Li NO ❑YES--See:Below&Pg,Z <br /> LSy checking this box,I arms-rating that I have read and understand all of WAC 296-1613400,selected thespecific reason on page 2 <br /> of this application(see next page).AND Plan Review Is NOT required because I meet allof the following sub sections that do riot <br /> See Fe9tf2 require Plan-Review. <br /> ARE YOU,AN OWNER OWNERPERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:©NO EYES-See Below&Pg.3 <br /> UPursuenttto RCW 19.28.261.property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without. <br /> the proper:electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and sIgr}ed.the <br /> Bee pawl APFIDAVtT°on page-Sof this.application ;to receive an exemption from this licensingicertification requirement, <br /> 2 M- CONTACT INFOR ITIO � % '� . <br /> OWNER NAME:.WIIIIBD s Investment TENANT BUSINESS NAME,(If Commercial);, <br /> OWNER MAILING:ADDRESS: ME <br /> en 19801 50th Ave Wsure WA zik 9803 <br /> OWNER PHONE: OWNER EMAIL: <br /> , <br /> CONTRACTOR NAME:Rherne Electric <br /> CONTRACTOR ADDRESS: SIR.E41.628 S Spruce St <br /> erre Burlington STATE WA op:18235 <br /> CONTRACTOR PHONE:380416-8227 (CONTRACTOR EMAIL:clave ©rherrmelectric4corn <br /> CONTRACTOR LIC,#{RECUIRED)RHEMAEL84ODH CIT(!OF.EV.ERETT BUSINESS LIG.#(R Uhl E i) 457$3' <br /> `PRIMARY CONTACT: DOWNER lit CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME:. CONTACT PHONE:360430-0164 <br /> Dave, B . t CONTACT EMAIL:dave„,,rherr'iaeteCtrIC,COm <br /> AGREEA T'homey comb that Cdr reed end examined this application and know tate same to be true end correct. Ail previsions of taws end ordinances <br /> governing this type at workwili be completed whether specifled herein or not. The granting of a permit does not presume fa give authority to violate or-cancel the <br /> pmvfsions Stan)/ouieir slats or feat iaiv aegutating construction orthe performance of construction. That t ern authorized by the owner of this property to perform the <br /> wont for Which application is made and l can?pty with the State;contractors Law 18.27 RCW and 296.200 WAC <br /> City of Everett Official Use,Onfy <br /> PERl+it1T# <br /> ' 14) I , ill 1 11 &- Z <br /> � -01 <br /> Au .diAg .naturo Date ,ed (Revised 41ISI2alB) Page'I-Application <br />