2211 WETMORE AVE 2019-07-24 - Laserfiche WebLink

E-CTRICAL PERMIT APPL *TION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettwa.gov/permits 4r;i , ., /ii„.i/. �%��///r/:.:/�/ Vii,,, . PROJECT ADDRESS: 2211 Wetmore Ave Everett, WA 98201 BUILDING AREA: 1 • sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT El REMODEL BUILDING USE: ❑✓ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL CONTRACT PRICE OF WORK: $ $2088 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Service panel change. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑ YES-Select Scope: 0 Service El Feeder El Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? El NO El YES-#of Devices: SELECT SCOPE(REQUIRED): El Data ❑ Intercom E Thermostat El Audio ❑ Secure Access ❑ Security System El 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. El Other(List All): /F,17,17.7 9 /i��/�/ IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: El NO n YES--See Below&Pg. 2 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. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO 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*FORMATION OWNER NAME: Caleb Steelman TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2211 Wetmore Ave Everett WA 98201 CITY STATE ZIP OWNER PHONE:615-403-6944 (OWNER EMAIL:calebsteelman@yahoo.com CONTRACTOR NAME: Westbrlght Construction LLC CONTRACTOR ADDRESS: STREET 6 232nd PI SW Bothell WA 98021 CITY STATE ZIP CONTRACTOR PHONE:206-473-9998 (CONTRACTOR EMAIL:westbrightconstruction@gmail.com CONTRACTOR LIC.#(REQUIRED): WESTBCL843RH CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 56325 . ....,..a.,, PRIMARY CONTACT: r7OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-473-9998 Jesus Alaniz CONTACT EMAIL:westbrightconstruction@gmail.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/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#:_ 79- Zo / � E k #: �� 0 Owner/Authorized Agen Signature Date (Revised 1/11/2019) Page 1-Application