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I <br /> SP.,- 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 /> m <br /> PROJECT ADDRESS: 1302 Cascade DR Everett, WA 98203 Uti,likl7i` <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: sf living <br /> ., ,. ,....e... Lig 1 d JI® ', ,x' `mac:wiTtram <br /> CONTRACT PRICE OF WORK: $ 0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Permit is so we can have an inspection so PUD can replace a lost meter. <br /> '4" FOR ATIO � <br /> OWNER NAME:David Haines TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1302 Cascade DR <br /> CITY Everett STATE WA zip 98203 _ <br /> OWNER PHONE: 425.327.0170 OWNER EMAIL:n/a <br /> CONTRACTOR NAME: In House Electrical Services, Inc. <br /> CONTRACTOR ADDRESS: STREET 1530 17th 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): inhOUeS952gg laY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.760.3203 <br /> Kelsey CONTACT EMAIL: <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 whe her specified herein or not. The granti.g of a.- -it does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating cons .ction.r the perfor ance of construction. ha • . thorized by the owner of this property to perform the work for which application is made and I <br /> comply with the Stat- ontracto s Law 18.27 RCW and 296.200 W A� <br /> City of Everett Official Use Only <br /> PERMIT# <br /> /4 2_0 `� E \ WS- k<90 <br /> Own./Aut f orized Agent Signatu 7 r Date (Revised 9/23/2016) <br />