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5908 HIGHWAY PL 2019-03-27
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5908 HIGHWAY PL 2019-03-27
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3/27/2019 10:23:53 AM
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3/27/2019 10:23:52 AM
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Address Document
Street Name
HIGHWAY PL
Street Number
5908
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ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:5908 Highway PL Apt. B <br /> PROJECT TYPE:fNEW CONSTRUCTION !ADDITION 'CIENANT IMPROVMENT REMODEL <br /> BUILDING USE: SFR ❑ `OWNHOUSE UPLEX ❑ 'DU ® MULTI-FAMILY-#OF UNITS:2 D j OMMERCIAL <br /> BUILDING AREA: 2234 sq ft <br /> r ELECTRICAL APPLICATION INFORMATION "' <br /> CONTRACT PRICE OF WORK:$800 ASSOCIATED BUILDING PERMIT#(if applicable): M1809-053 <br /> IS THIS LOW VOLTAGE WORK? .O ❑ ES-#OF DEVICES: <br /> IS THIS A FIRE ALARM PERMIT? 0 '0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> DESCRIPTION OF tItORK& CODE COMPLIANCE <br /> DESCRIPTION OF WORK: Gas Furnace Replacement <br /> THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: <br /> 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 <br /> 13] <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: <br /> I. <br /> I Pursuant to RCW 19.28261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without <br /> the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and signed the <br /> See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> 'OWNER NAME: Mark Yarbough TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5908 Highway PL Apt#B <br /> CITY Everett STATE WA zip 98204 <br /> OWNER PHONE: 6503939488 OWNER EMAIL: markyarbough a©yahoo.com <br /> CONTRACTOR NAME: SEATOWN ELECTRIC CORP. <br /> CONTRACTOR ADDRESS: STREET 3431 BROADWAY <br /> cm, EVERETT STATE WA zip 98201 <br /> CONTRACTOR PHONE:206-905-4946 CONTRACTOR EMAIL: PERMITS@SEATOWNSERVICES.COM <br /> CONTRACTOR LIC.#(REQUIRED):SEATOEC86ORB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 53916 <br /> PRIMARY CONTACT: EI •WNER ONTRACTOR 0 aTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-905-49469 <br /> BEKAH SWANSON CONTACT EMAIL: PERMITSSEATOWNSERVICES.COM <br /> AGREEMENT:I hereby certify that!have read and examined this application and know the same to be true and correct. Al!provisions of laws and ordinances <br /> 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 <br /> 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 <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMITR # <br /> Ownop <br /> ;Fk. d Aent Signature Date (Revised 10/30/2018) Page 1 of 3 , <br />
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