2801 10TH ST 2019-07-09 - Laserfiche WebLink

ELECTRICAL FERMIT & FIRE ALARM PEi(MIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2801 1 0TH ST PROJECT TYPE: ❑ANEW CONSTRUCTION 0 ADDITION ® TENANT IMPROVMENT ElREMODEL BUILDING USE: 0 SFR 0 TOWNHOUSE 0 DUPLEX 0 ADU 0 MULTI-FAMILY-#OF UNITS: Ea COMMERCIAL BUILDING AREA: N/A sq ft iCAtAiiiiLidAttitiON INFORMATION ^ A4 CONTRACT PRICE OF WORK:$7128.00 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? m NO 0 YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ❑ NO 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Replacing two like for like Roof top Units. Disconnects and re-connect only THIS SECTION APPLIES TO ALL EDUCATION, INSITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 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: ® 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. CONT $FORMATION OWNER NAME: SNOHOMISH COUNTY TENANT BUSINESS NAME(If Commercial): DJJC OWNER MAILING ADDRESS: STREET 3000 ROCKEFELLER AVENUE CITY Everett STATE WA ZIP 98201 OWNER PHONE: N/A OWNER EMAIL: N/A CONTRACTOR NAME: MBE Electric CONTRACTOR ADDRESS: STREET 12002 SE 91st ST TY Newcastle STATE WA ZIP 98056 CONTRACTOR PHONE:253-332-4072 CONTRACTOR EMAIL: mbeelectric@hotmail.com CONTRACTOR LIC.#(REQUIRED):MBEELEL874OQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER CONTRACTOR (OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-332-4072 Mike Buch CONTACT EMAIL: mbeelectric@hotmall.com AGREEMENT:I hereby certify that 1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Ni a Sum 11/02/2018 1 I C 2.2 Owner/Authorized Agent Signature Date (Revised 10/30/2018) Page 1 of 3