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ELECTRICAL PERMIT APPLICATION <br /> 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 /> totr-Nempvmr4rY ,o1/ <br /> 74.'1 .. <br /> PROJECT ADDRESS:90 (( of i V 1 (AJ Ove,if '-f, j (AA On 2,03 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED `IFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 3-F l/(vl I1c7 <br /> � �5 P,E•. ..a. E{?,�Ii E. ..iv;,..�a. j.911�1{w��I..�.. �. ,....\ ®x. 111 }�1� � §„f;. ., < ..v,�.,�,' v.., e .;�.,.., o., .. <br /> CONTRACT PRICE OF WORK: $ 2/� <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES RS NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 2- Ol,I{C/Ved Cl{'rte I - VY11Ct c2"t�Ll t <br /> li ��i �'” �� � `� � <br /> >G..v,. i„ M� ✓ �- .,.rte - .- 9#144 �i .�...,,,,,,. <br /> lir <br /> OWNER NAME: An VVV1 ( /t� //�� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET eo U Ot I�f'�n& Ave IA/ <br /> CITY EVERETT STATE WA ZIP q• /2.....0-2., <br /> OWNER PHONE: N�7 OWNER EMAIL:N/A <br /> CONTRACTOR NAME: IN HOUSE ELECTRICAL SERVICES, INC. <br /> CONTRACTOR ADDRESS: STREET 1530 117TH DR SE <br /> cm,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: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 <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 /> Owne/Authorized Agen ture Date (Revised 9/23/2016) <br />