3927 FRIDAY AVE 2019-02-06 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 151!!! 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 I(E)everetteps©everettwa.gov j www.everettwa,gov/permits PROJECT ADDRESS:3927 Friday Ave PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT REMODEL BUILDING USE: ✓❑SFR El TOWNHOUSE ❑DUPLEX El ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL BUILDING AREA: 200 sq ft .\ all ��,., ,�. K� c .� z �.. �il�r, M� - \ �.,..». CONTRACT PRICE OF WORK:$2404 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? Q NO 0 YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? El NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK: Verify panel,demo old kitchen and update outlets in sitting rm and family rm ` ZA2 _k IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: O NO ❑YES--See Below&Pg.2 By checking this box,I am stating that I have read and understand all of WAC 296-468-800,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because€meet all of the following sub sections that do not See Page 2 require Plan Review. ONO ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:❑NO ❑YES-See Below&Pg.3 Pursuant to RCW 19.28261,property owners and leaseholders cannot perform electrical 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 I have completed and signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. { OWNER NAME: TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE LP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:ChriS Sikel CONTRACTOR ADDRESS: STREET7711 274th St 11W CITY Stanwood STATE wa ZIP 98292 CONTRACTOR PHONE:206641 1 536 CONTRACTOR EMAIL:chris@secure-electric,com CONTRACTOR LIC.#(REQUIRED):securd€83331 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57548 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2066411536 chris sikel CONTACT EMAIL:chris@secure-electric.com AGREEMENT'I hereby certify that/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 repute g 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 com with the State Contractors Law 18:27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# ` 12/10/2018 g\.2-002, Owc!J thorized Agent Signature Date (Revised 11/512018) Page 1-Application