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4Err ELECTRICAL 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.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 7506 17th AVE SE Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: Sf living <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 1800 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Make necessary repairs to the crawl space, and ground fault ungrounded <br /> outlets. Altered 4 circuits <br /> CONTACT INFORMATION <br /> OWNER NAME:Alice Platt TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7506 17th AVE SE <br /> CITY Everett STATE WA LIP 98203 <br /> OWNER PHONE: 425.359.7303 OWNER EMAIL: <br /> CONTRACTOR NAME: In House Electrical Services, Inc. <br /> CONTRACTOR ADDRESS: STREET 1530 117th DR SE <br /> CITY 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.#(REQUIRED): 044168 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.760.3203 <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 and 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 provisions 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 which application is made and I <br /> comply with the State Contractors Law 18.27'- A and 296.200 WAC. <br /> City of Everett Official Use Only <br /> ,', PERMIT# <br /> Owner/Autho ' ed Agent Signature - Date (Revised 9/23/2016) <br />