3817 SMITH AVE 2019-04-17 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 0.111111* 3200 CEDAR STREET,EVERETT T WA 98201 vitt (P).425-257-8310 I FAX 425-257-8857 1(E)everetteps@everetNva.gov vva.gov I www.everettwa,go+vlperrits PRt?,3E+ r SITE)$ RMI TION , 4 PROJECT ADDRESS:3817 Smith Ave, Everett,WA 98201 PROJECT TYPE: 0 NEW CONSTRUCTION El ADDITION ❑✓ TENANT IMPROVMENT 0 REMODEL BUILDING USE: 0 SFR 0 TOWNHOUSE 0 DUPLEX ❑ADU 0 MULTI FAMILY-#OF UNITS: 0 COMMERCIAL BUILDING AREA: sq ft I.EGTi IGag„*.tM4-0ATIC1 IMF( I IO ° '� ��1�� ,r. CONTRACT PRICE OF WORK:$1,203.40 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? El NO ❑YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? 0 NO ❑ YES-Plans required for review(Both.Electrical and Fire Department inspections are required) DESCRIPTION OF WORK: Install power to a split AC unite IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILrrIES: ®•NO ❑YES—See Below&P9,2 fBy checking this box,I am stating that I have read and understand all of WAC 296468-WO,selected the specific reason on page-2 of this application(see next page),AND Plan Review is NOT required because I meet all ot 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:ONO OYES-See Below&Pg.3 El 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. CQNTA T INIF©£(MAT t N OWNER NAME:Royeil Manufacturing Inc TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET3817 Smith•Ave env EverettSTATE WA ze 98201 OWNER PHONE:425-259:9258 OWNER EMAIL:dietrich@a royell.cofn CONTRACTOR NAME:Precision Electric Group Inc CONTRACTOR ADDRESS: sTREET15323 NE 90th Street crry Redmond STATE WA zP 98052 CONTRACTOR PHONE:425-$23-8590 CONTRACTOR EMAIL:terryd@precisionelectriegroup.com CONTRACTOR LIC #(REQUIRED):PRECIEG969PH CITY OF EVERETT BUSINESS LIG.#(REQUIRED): 047780 PRIMARY CONTACT: D OWNER {I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-948.9802 Terry Beau CONTACT EMAIL::terryd@a precisiOneleCtr7Cgroup.cArti AGREEMENT:1 hereby certify that f have.read end 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 tire performance of construction. That l am authorized by theowner of this property to perform the, work for which application is made and I comply-with the State Contractors taw 18.27 RCW and 296.200 WAD. City of Everett Official Use Only PERMIT K41144 oyi b\ 55(5 ownertAuthorizedAgent Signature Date (Revised 1/5/2018) Page 1,Appticaton