10830 HOLLY DR 2017-11-17 - Laserfiche WebLink

S 46-77 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 10830 Holly DR Everett, WA 98204 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Sf living ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 10x000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: New 200 amp overhead pole-mounted service, replacing (8) 30 amp 120 volt receptacles CONTACT INFORMATION OWNER NAME:Walt Delaney TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10830 Holly DR , Everett, STATE WA ZIP 98204 OWNER PHONE: 425.422.3755 OWNER EMAIL: CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: STREET 1530 117th DR SE c,Ty Lake Stevens STATE WA ZIP 98258 CONTRACTOR PHONE: 425.760.3203 CONTRACTOR EMAIL: Ihepermits@gmail.com CONTRACTOR LIC.#(REQUIRED): INHOUES952QG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.760.3203 Kelsey CONTACT EMAIL:Iheperrnits@gmall.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 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. � 7 City of Everett Official Use Only PERMIT# AO/ E 1 ( o- I3f Owner/Authorized Agent Sign re / Date (Revised 9/23/2016)