2615 MAPLE ST 2019-02-11 - Laserfiche WebLink

ELECTRICAL PIRIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES '' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2615 Maple St PROJECT TYPE:DEW CONSTRUCTION ID ADDITION 'M ENANT IMPROVMENT CI REMODEL BUILDING USE: [FR 1DJTOWNHOUSE 1.0}UPLEX 0 . DU 10 IULTI-FAMILY-#OF UNITS: JOMMERCIAL BUILDING AREA: 1869 sq ft ELECTRICAL APPLICATION INFORM 1TION CONTRACT PRICE OF WORK:$4000 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? NO0 ES-#OF DEVICES: y IS THIS A FIRE ALARM PERMIT? Lai 0 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE ., DESCRIPTION OF WORK: 200BITID service and temp pole THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 171 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: '■1Pursuant to RCW 19.28.261,propertyowners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without I 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. t CONTACT INFORMATION OWNER NAME: Teresa Fisher TENANT BUSINESS NAME(If Commercial : OWNER MAILING ADDRESS: sTTZEEr 2615 Maple St CITY Everett STATE WA ZIP 98201 OWNER PHONE: 4253039343 OWNER EMAIL: fisherjoe2615@Comcast.net CONTRACTOR NAME: SeaTown Electric Corp. t CONTRACTOR ADDRESS: sTREEr 3431 Broadway cry Everett STATE WAzp 98201 CONTRACTOR PHONE:206-905.4946 CONTRACTOR EMAIL: permits@seatownservices.com CONTRACTOR LIC.#(REQUIRED):SEATOEH821 Ddu CITY OF EVERETT BUSINESS L1C..#(REQUIRED): 331 I 0 PRIMARY CONTACT: 0 OWNER Pal ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-9055-4946 Bekah Swanson CONTACT EMAIL: •ermits;,iseatownservices.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 I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT* !i - et.% l. 1 --0�.- OwnerlA , i d • nt Signature Date (Revised 10/30/2018)