4815 GLENHAVEN DR 2019-03-21 - Laserfiche WebLink

4ETT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4815 GLENHAVEN DR, EVERETT WA 98203 BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED El SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: SF LIVING ELECTRICAL APPLICATION INFORMATION 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 20 AMP CIRCUIT FOR BATHROOM OUTLET, 1 ALTERED CIRCUIT FOR BATHROOM VANITY LIGHT CONTACT INFORMATION OWNER NAME:Tara Ingham TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4815 Glen haven DR off, Everett STATE WA ZIP 98203 OWNER PHONE: n/a OWNER EMAIL: n/a CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: STREET 1530 117th DR SE c,,,, Lake Stevens STATE WA ZIP 98258 CONTRACTOR PHONE: 4257603203 CONTRACTOR EMAIL: Ihepermlts@gmall.com CONTRACTOR LIC.#(REQUIRED): Inhoues952gg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044168 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4257603203 Kelsey CONTACT EMAIL:Ihepermlts@gmall.com AGREEMENT:l 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.,,oermit 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. Thai- 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! PERMIT#City of Everett Official Use Only Owner/Authorized Agent Signature Date (Revised 9/23/2016)