6320 2ND DR SE 2019-05-23 - Laserfiche WebLink

ELECTRICAL PROMIT & FIRE ALARM PIT 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 ADDRESS:6320 2nd Dr. SE PROJECT TYPE: nNEW CONSTRUCTION ElADDITION 12 ENANT IMPROVMENT aREMODEL BUILDING USE: FR 0 TOWNHOUSE 0 I UPLEX 0 DU 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL BUILDING AREA: •sq ft CONTRACT PRICE OF WORK:$500 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? 0 NO 0 YES-#OF DEVICES: 1 IS THIS A FIRE ALARM PERMIT? 1=1 0 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK: Thermostat at like for like gas furnace replacement THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: palSBy 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: is 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. OWNER NAME: Robert Chen TENANT BUSINESS NAME If Commercial OWNER MAILING ADDRESS: STREET 6320 2nd Dr. SE CITY Everett STATE WA zip 98203 OWNER PHONE: 425 493 5353 OWNER EMAIL: CONTRACTOR NAME: Always Current Electric CONTRACTOR ADDRESS: STREET 720 N 10th St Suite A 403 CITY Renton STATE WA ZIP 98057 CONTRACTOR PHONE:206 793-7920 CONTRACTOR EMAIL: rance • alcuelectric.com CONTRACTOR LIC.#(REQUIRED):ALWAYCE843QB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):56460 PRIMARY CONTACT: ❑ •WNER Q' ONTRACTOR 0 OTHER Please S.ecify CONTACT NAME: CONTACT PHONE: 206 793-7920 Rance CONTACT EMAIL: rance • alcuelectric.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# Rance Pedersen 11/1/2018 Et 01 - Owner/Authorized Agent Signature Date (Revised 10/30/2018) Page 1 of 3