926 MAPLE ST 2018-05-22 - Laserfiche WebLink

�LCCTRICAL PERMIT APNL�CATION 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 INFORMATION PROJECT ADDRESS: Z(0 L� � (�'�� -/ 7/�O� BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED FR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ; � � �j� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �,5� U NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �I l�Q�� G� �" ! � C�NTACT INFORMATION OWNER NAME: `e-� (/I TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT � � cin. EVERETT srnrE WA ziP � Z C11 OWNER PHONE: OWNER EMAIL: N�A coNTRacTOR NaMe: IN HOUSE ELECTRICAL SERVICES, INC. coNT�cTOR aooREss: STREET 1530 117TH DR SE �„� LAKE STEVENS STATE WA Z,P 98258 CONTRACTOR PHONE: 4Z�J.76O.3ZO3 coNTRAcroR Enn,v�: IHEPERMITS@GMAIL.COM coNrRacroR uc.#�REQu�REo�: INHOUES952QG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044�FH PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.76Q.32�3 KELSEY coNTacr Ennai�:IHEPERMITS@GMAIL.COM AGREEMENT:I hereby certify that I have read and examined this app/ication and know the same to be true and co�rect. A/l p�ovisrons of laws and ordinances gove�ning this type of work will be comp/eted whether specified herein or not. The granting of a permit does not presume to give authority to vio/ate or cancel the provisions of any other state or local law�egulating 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 8.27 RCW and 296.200 WAC. � � � City of Everett Official Use Only . PERMIT# E 1��-'�- "�''�C Owner/Authorized Agent Signature Date (Revised 9/23/2016)