3419 WETMORE AVE 2019-07-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES VOW- - 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwagov 1 wwweverettwa.gov/permits P OAl T SITE INFORMATION PROJECT ADDRESS: 3419 Wetmore Ave BUILDING AREA: 1133 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ✓❑ADDITION ❑TENANT IMPROVMENT El REMODEL BUILDING USE: ❑✓ SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELECTR AL r •N .,,vr.,N .: RIPTION 'Tri-7 CONTRACT PRICE OF WORK:$ 2000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 200AMP Service Upgrade and Panel THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑YES-Select Scope: Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED). ❑ Data ❑ Intercom ❑Thermostat ❑Audio El Secure Access El Security System ❑ 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): CODS COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 7 NO 'InYES--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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO OYES-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: Cody Martin TENANT BUSINESS NAME(If Commercial); OWNER MAILING ADDRESS: STREET 15026 40th Ave W#14401 CITY Lynnwood STATE WA Z,P 98087 OWNER PHONE:206-949-8929 OWNER EMAIL:cody@seatownservices.com CONTRACTOR NAME: SeaTown Electric Corp CONTRACTOR ADDRESS: STREET 3431 Broadway CITY Everett STATE WA zip 98201 CONTRACTOR PHONE:206-905-4946 CONTRACTOR EMAIL:permits@seatownservices.com CONTRACTOR LIC.#(REQUIRED):SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53916 PRIMARY CONTACT: DOWNER ['CONTRACTOR (Please Specify) pecify) CONTACT NAME: ,CONTACT PHONE:206-905-4946 Bekah Swanson CONTACT EMAIL:permits@seatownservices.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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: loor g (Revised 1/11/201 6/11/19 Owner/A ori ed A9 t Signature Date 9) Page 1-Application