3227 OAKES AVE 2019-07-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3227 Oakes AVE Everett BUILDING AREA: sq ft PROJECT TYPE: E NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT El REMODEL BUILDING USE: 21 SFR ❑TOWNHOUSE El DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: E COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 800 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 20 amp circuit for 3 heaters THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) UNE VOLTAGE WORK? El NO O YES-Select Scope:El Service ❑Feeder ❑✓ Circuits-#:1 E Complete Re-wire LOW VOLTAGE WORK? E NO E YES-#of Devices: SELECT SCOPE(REQUIRED): E Data El Intercom E Thermostat E Audio El Secure Access E Security System E Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. ❑Other(List All): CODE COMPLIANCE M.7,148-W-", - IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: E NO El Bel YES—See _ Below&Pg.2 By checkingthis 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. rr-''" ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:EI NO EYES-See Below&Pg.3 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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME:Tara Stone TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3227 Oakes AVE c ay Everett STATE WA zip 98201 OWNER PHONE:na OWNER EMAIL:na CONTRACTOR NAME: In House Electric CONTRACTOR ADDRESS: sTREET1530 117th DR SE CRY Lake Stevens STATE WA zip 98258 CONTRACTOR PHONE:4257603203 CONTRACTOR EMAIL:ihepermits@gmail.com CONTRACTOR UC.#(REQUIRED):inhoues952gg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: El OWNER ❑CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4253209149 . Kelsey CONTACT EMAIL:keisey@inhouseetectric.corn 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 pot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other slate or local law regulating construction or the performance of construction. That I em authorized by the owner of this property to perform the work for which application is made and I comply with the S-e Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Ow edAuthorized Ag•,t Signature Date (Revised 1/11/2019) Page 1-Application Scanned with CamScanner