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6021 EAST DR 2019-09-04
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6021 EAST DR 2019-09-04
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Last modified
9/4/2019 3:05:01 PM
Creation date
9/4/2019 3:04:58 PM
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Address Document
Street Name
EAST DR
Street Number
6021
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�-� ELECTRICAL PERMIT APPLICATION <br /> h✓a CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> • u <br /> a <br /> PROJECT ADDRESS: 6021 East DR Everett 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF • <br /> BUILDING TYPE: 0 SFR-DETACHED 23 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: sf living <br /> .' %". ,r: ,9 s �•i. ?X�t ..n. .. 'II...�. „<... t <br /> CONTRACT PRICE OF WORK: $ 4800 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 200 amp service <br /> OWNER NAME:James Moffatt TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 6021 East Dr <br /> my Everett STATE WA ZIP 98203 <br /> OWNER PHONE: n/a OWNER EMAIL:n/a <br /> CONTRACTOR NAME: In House Electrical Services, Inc. <br /> CONTRACTOR ADDRESS: STREET 1530 117th DR SE <br /> c,T„ Lake Stevens STATE WA .,,,.ZIP 98258 <br /> CONTRACTOR PHONE:425.760.3203 CONTRACTOR EMAIL: ihepermits@gmail.com <br /> CONTRACTOR LIC.#(REQUIRED) INHOUES952QG CITY OF EVERETT BUSINESS LIC.#(Ri-QUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4257603203 <br /> Kelsey CONTACT EMAIL:ihepermits@gmail.com <br /> 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 ar d ordinances governing this type <br /> 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 prc r'sions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for wi.ch application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City ofEveret.' fficial Use Only <br /> 4g1 <br /> PERMIT# <br /> //�A )Gb E I ,#)* #sp <br /> Owner!•uthori Fd Agent !gnat re 7 Date (Revised 9/23/20 �^ <br />
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