907 PINE ST 2018-06-08 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits ....<. ,? ,_.. • a PROJECT ADDRESS: 907 PINE ST EVERETT, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ;;SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SF LIVING AREA CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES(if low voltage): . FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (1)ALTERED CIRCUIT FOR (2) LIGHTS AND SWITCH \\ti >, a s'71' IIFRMATIN.., OWNER NAME:EMILY ZIMMER TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 907 PINE ST CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: 206.601.0105 OWNER EMAIL: CONTRACTOR NAME: IN HOUSE ELECTRICAL SERVICES, INC. CONTRACTOR ADDRESS: STREET 1530 77TH DR SE circ LAK SETVENS STATE WA ZIP 98258 CONTRACTOR PHONE:425.760.3203 CONTRACTOR EMAIL: IHEPERMII S@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:IHEPERMITS@GMAIL.COM AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. ATI 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# I 12I1 `6111- Ej7/a-( 3o Owner/Authorized Agent Sig at e Date (Revised 9/23/2016)