5908 HIGHWAY PL 2019-03-27 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.govlpermits PROJECT SITE INFORMATION PROJECT ADDRESS:5908 Highway PL Apt. B PROJECT TYPE:fNEW CONSTRUCTION !ADDITION 'CIENANT IMPROVMENT REMODEL BUILDING USE: SFR ❑ `OWNHOUSE UPLEX ❑ 'DU ® MULTI-FAMILY-#OF UNITS:2 D j OMMERCIAL BUILDING AREA: 2234 sq ft r ELECTRICAL APPLICATION INFORMATION "' CONTRACT PRICE OF WORK:$800 ASSOCIATED BUILDING PERMIT#(if applicable): M1809-053 IS THIS LOW VOLTAGE WORK? .O ❑ ES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? 0 '0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF tItORK& CODE COMPLIANCE DESCRIPTION OF WORK: Gas Furnace Replacement 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 13] 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: I. I Pursuant to RCW 19.28261,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. CONTACT INFORMATION 'OWNER NAME: Mark Yarbough TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5908 Highway PL Apt#B CITY Everett STATE WA zip 98204 OWNER PHONE: 6503939488 OWNER EMAIL: markyarbough a©yahoo.com CONTRACTOR NAME: SEATOWN ELECTRIC CORP. CONTRACTOR ADDRESS: STREET 3431 BROADWAY cm, 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: EI •WNER ONTRACTOR 0 aTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-905-49469 BEKAH SWANSON CONTACT EMAIL: PERMITSSEATOWNSERVICES.COM 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 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMITR # Ownop ;Fk. d Aent Signature Date (Revised 10/30/2018) Page 1 of 3 ,