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I <br /> I 0001111"-- ELECTRICAL PERMIT APPLICATION <br /> ' - ! CITY OF EVERETT PERMIT SERVICES <br /> '444 � 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov'I www everettwa.govtpermits <br /> PROJECT SIT <br /> E INFORMATION �L <br /> PROJECT ADDRESS: ILO W tit 5I n d fie( 4"2 2-1 & Vi'V' t ityA `(!' <br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: vv'-F- i i V i Y1 J at.C6 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:s ....M <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES A.NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: (Z rAY•ovvitS f o Y 'L 1(11'MU C{i't 1 t V`1fJ ' V t 5 c. <br /> i <br /> .. <br /> CONTACT INFORMATION <br /> OWNER NAME: ?)vionct ptIn ii!fJ/1►�i Yt lc- TENANT NAME(If Commercial): <br /> { OWNER MAILING ADDRESS: sorer t 4 9A l YV cAs i vID 4 <br /> We (1(V� <br /> _.:. /�,p CnV V V VY �` STATE tr w A zo 01 i-A.J <br /> OWNER PHONE: e• 'U"t'•"T{ OWNER EMAIL: N <br /> CONTRACTOR NAME: In House Electrical Services,Inc. <br /> CONTRACTOR ADDRESS: sem,1530117tt> DR SE <br /> crry Lake Stevens STATE WA 23e 98203 <br /> CONTRACTOR PHONE:425-760-3203 CONTRACTOR. EMAIL:.ihepermits@gmal.com _ <br /> CONTRACTOR UC.*REQUIRED): inhoues952gg, CCTTY OF EVERETT BUSINESS LIC:d#(REQUIRED):044168 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR D OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-760-3203 <br /> Kelsey CONTACT EMAIL:ihepermits@gmail.com <br /> 414 <br /> AGREEMENT:thereby certify that.I have reed and examined Mk ggaicaticn and know the same to be trus and correct.AN provittions of laws and ods governing this type <br /> of work will be meted whether specified herein or not. The'granting ala pent*does notpesume to give*thorny to violate or-cancel the Omissions of any otherstate or <br /> kcetlaw mooting construction or the p rm of construction. That t ivn sutholtzedby the.MOOT of this m s*to polo=me work for which application is made and 7 <br /> comply with the State Car*ectors taw-18.27RCWand 296.200 WAC. <br /> I <br /> i <br /> 2 <br /> City of Everett Oficial Use Only <br /> i 4 / <br /> PERMIT# <br /> .1,.� a� I$ of <br /> I BO f3 <br /> 'D <br /> tun Da (Revised 9/23/2018) <br /> ........... <br /> youseomputaimagememocaweelWeelly <br /> Scanned with CamScanner <br />