4962 VISTA PL 2018-06-08 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION a 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 *g PROJECT ADDRESS: 401 IX 2 VIftQI 10 L "U'VY +F, W A Olgb 209 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED .SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: cSf IA vi vi(� CONTRACT PRICE OF WORK: $ R•Q 4-i) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 4h NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 2-0 o VV i t CA rotit(fi in 0�nV I d 14 I t 4-13{ 99 e)(ti v 10K Il-fi1 C1'S OWNER NAME: )f irYVV I VISShfir /� TENANT'NAME(If Commercial): OWNER MAILING ADDRESS: STREET 401 12- V I S+A P/� ``'' CITY �eV` STATE v A zIF�c LSVp� lD OWNER PHONE la°• 4C6 l. (:)'✓ 'OWNER EMAIL ov-o pht Slj vidcCog Edi I•I C CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: STREET 1 530 117th DR SE 01TY Lake Stevens STATE WA zip 98203 CONTRACTOR PHONE:425-760-3203 I CONTRACTOR EMAIL: ihepermits@gmail.com CONTRACTOR LIC.#(REQUIRED): inhoues952qg ICITY 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. All provisions of laws and ordinances governing this type of work will be completed whether speciti-d 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 p- ormance 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 :.27 RCW and 296.200 WAC. fif City of Everett Official Use Only PERMIT# ��2��1� E [ g003- 1to 1 Owner/A thorized A A.ent Sign u Date (Revised 9/23/2016)