3807 COLBY AVE 2019-03-14 - Laserfiche WebLink

ELECTRICAL &MIT & FIRE ALARM PIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS:3807 Colby Ave. PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑SFR "❑TOWNHOUSE El DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL BUILDING AREA: N/A sq ft 1 yt\.? a.fl Mti 7 N CONTRACT PRICE OF WORK:$500.00 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ✓❑ NO ❑YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ❑✓ NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK: Provide temporary electrical connection for construction office trailer. IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO CI YES--See Below&Pg.2 nII 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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:ONO DYES-See Below&Pg.3 nI 1 Pursuant to RCW 19.28.261,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. 1 � T �� • OWNER NAME: Cascade Realty Inc. TENANT BUSINESS NAME(If Commercial): Interwest Construction Inc. OWNER MAILING ADDRESS: STREET3807 Colby Ave. CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Service Electric CONTRACTOR ADDRESS: STREET 1615 1st Street crr Snohomish STATE WA ZIP 98290 CONTRACTOR PHONE:360.568.6966 CONTRACTOR EMAIL:sharon@secoinc.com CONTRACTOR LIC.#(REQUIRED):SERVIEC564RU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 029064 PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) a_ CONTACT NAME: CONTACT PHONE:206.419.1826 Andy Powers CONTACT EMAIL:andy.powers@secoinc.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 ��JJ - PERMIT# 54 C1a eiVa ttclOHI 1-17-19 Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page 1-Application