5425 GLENWOOD AVE 2018-01-08 - Laserfiche WebLink

� � ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE 1NFORMATION PRo�ecrAo�Ress: 5425 GLENWOOD AVE EVERETT, WA 98203 BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED � SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: SF LIVING ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 'I OOO NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): �EscRiPrioN oF woRK: GROUND RODS AND BONDING CONTACT IN�ORMATION owNER NaMe:ALLEN LOWE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReEr 5425 GLENWOOD AVE �,n EVERETT STATE WA Z,P 98203 owNER PHONe: 425.353.9373 OWNER EMAIL:N�/� coNTRacroR NaME: IN HOUSE ELECTRICAL SERVICES, INC. CONTRACTOR ADDRESS: srReeT 1530 117TH DR SE cin. LAKE STEVENS STATE WA ZiP 98203 coNTRacTOR PHONe: 425.353.9373 coNTRacroR EMw�: IHEPERMITS@GMAIL.COM coNrR,acTOR uc.#�REQu�RE��: INHOUES952QG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044�CH PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t�2�j.76O.3ZO3 KELSEY coNT,acr eMai�: IHEPERMITS@GMAIL.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. City of Everett Official Use Only PERMIT# �2 .�., � E I� I 2-�5� Ow er/Authorized e Signature Date (Revised 9/23/2016)