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AAP ELTRICAL PERMIT APPL■MUATION <br /> I'�►�s CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> , yti.., .= .. ..an .-..0 ... Fey... Y+b. Ye „i/.. C��,. ... .. >........ �. /�..,,ir ��T <br /> PROJECT ADDRESS: ��� V v C't iSt V �/��/`� W �/� , <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 4SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: \C—f I ivl``{41 <br /> [y'� <br /> �pyyy y� <br /> �« �K� .� �fb.- z � � -- iI�� WE�* <br /> ..3 4i �Illk j' <br /> CONTRACT PRICE OF WORK: $ /LA// <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES JQNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): �+,, <br /> DESCRIPTION OF WORK: 0--) 4( t- V'ed t/ r tt -Poir /-(-- I&j ±c <br /> OWNER NAME: MelArd \d ZVI&cot TrENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET �-�D Vv G�U I�X (2 <br /> c, EVERETT STATE WA ZIP C 1P <br /> OWNER PHONE: (\I/I OWNER EMAIL:N/A <br /> CONTRACTOR NAME: IN HOUSE ELECTRICAL SERVICES, INC. <br /> CONTRACTOR ADDRESS: STREET 1530 117TH DR SE <br /> c,LAKE STEVENS STATE WA ZiP 98258 <br /> CONTRACTOR PHONE:425.760.3203 CONTRACTOR EMAIL: IHEPERMITS@GMAIL.COM <br /> CONTRACTOR LIC.#(REQUIRED): INHOUES952QG CITY 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:IHEPERMITS@GMAIL.COM <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 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> / PERMIT# <br /> Z-115//( E <br /> Owner/Authorize ent Signature Date --(Revised 9/23/2016) <br />