528 TAMARACK AVE 2019-04-17 - Laserfiche WebLink

ELECTRICAL RMIT & FIRE. ALARM PEWIT APPLICATION CITY OF EVERETT PERMIT SERVICES H� 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps c@r everett'i a.gov l www,everethva.gov/permits PROJECT SITE INFORMATIONr . ,k PROJECT ADDRESS:528 Tamarack Ave Everett WA 98203 PROJECT TYPE: NEW CONSTRUCTION ADDITION ❑ ENANT IMPROVMENT REMODEL BUILDING USE: FR I❑IrOWNHOUSE ❑ DUPLEX 0 DU 1❑IVIULTI-FAMILY-#OF UNITS: ❑_ICOMMERCIAL BUILDING AREA: approx. 1238 sq a ,.x E1 ECTRICAVAPPLICATiON:INFoR1'IA,TION . . �.).:':. iZ CONTRACT PRICE OF WORK:$1200 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? 0 NO ❑ ES-#OF DEVICES: , IS THIS A FIRE ALARM PERMIT? ®NO DYES-Plans required for review(Both Electrical and Fire Department inspections are.required) u'DESCRIPTION OF WORK;&CODE COMPLIANCE ,. DESCRIPTION OF WORK: 15 amp ductless heat circuit with service outipt THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: rE31By checking this box,lam stating that have read and understand all of WAC 296.46E-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: Pursuant to RCW 19.28261,property;owners and leaseholders cannot perform electrical work on buildings for rent,sale.or lease without, the properelectrical 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/ccertification:requirement. CONTACT INFORMATION. . .,,,,,f,,-4 :: OWNER NAME: Shandra Long TENANT BUSINESS NAME(If Commercial). , OWNER MAILING ADDRESS: STREET 528 Tamarack Ave CITY Everett. suit WA .ZIP 98203 OWNERPHONE: na 'OWNER EMAIL: ha CONTRACTOR NAME: In House Electrical Services, Inc: CONTRACTOR ADDRESS: STREET 1530117th DR SE my Lake Stevens STATE WA zip 98258 CONTRACTOR PHONE:4257603203 (CONTRACTOR EMAIL:ihepermits©gmail.COm CONTRACTOR LIC.#(REQUIRED):Inhoues952qg CrrY of EVERETT BUSINESS LIC.*REQUIRED):044168 -PRIMARY CONTACT: DOWNER ONTRACTOR UOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4257603203 Kelsey CONTACT EMAIL: ihepermits@gmail.COm AGREEMENT:thereby.cad*that t have read end examined this application and know the same to be true and correct. All provisions of taws and ordinances governing this type of work will bi completed whetherspecifiedherein or not. The granting of a permit does not presume to.give authority to violate or cancel the provisions of a other state or local law ,a r 'g construction Or the pada/mance of construction. That lam authorized by the owner of this property to perform the work for which;,plica ,Is made= d l comply Oh the State Contractors Law 1827 RCW and 298.200 WAC City of Everett Official Use Only /� PERMIT // 111P 1 /r /1/1- v .a 2. i -0Z 3 Owner Whetted Agent Signature Date (Revised 10130/2018) Page 1 of 3. Scanned with CamScanner