2226 OKLAHOMA AVE 2019-02-12 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2•/ 2— HoII i0Vvi Ave vV A 2IQ) 201 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Sf I I V I Vg ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 4NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: 200 G( K) pa an (7n O vl & CONTACT INFORMATION OWNER NAME: �� )��C ' �VV�ej TENANT NAME(If Commercial):� OWNER MAILING ADDRESS:_ STREET 2:2:2_,90 I - V o IM T� V OI e 'n I CITY A 1 STATE �/ �t (/��ZIP - LCb/i0 OWNER PHONE: --�� OWNER EMAIL: --®---____ CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: STREET 1530 117th DR SE „ Lake Stevens STATE WA ZIP 98203 CONTRACTOR PHONE: 425-760-3203 CONTRACTOR EMAIL: ihepermits©gmail.com CONTRACTOR LIC.#(REQUIRED): inhoues952qg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: ❑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 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# Owner/Author ed Age•t S natur _ Da- (Revised 9/23/2016)