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, ^►f' -- ELECTRICAL PERMIT APPLICATION <br /> . CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 9820:1" <br /> (P),426-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.goV� vwww.everettwa.govtpertnits <br /> G; . ,,kkltV\*O: ._ ', PRROJECT SIT IINFORMATI011wt ` 3 <br /> PROJECT ADDRESS:1302 Cascade DR Everett, WA 98203 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ®SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-:#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: mf <br /> CONTRACT PRICE OF WORK:S. 900 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 30 amp washer/dryer circuit <br /> VZ CONTACTiI ;. <br /> OWNER NAME:Shirley Dimmit TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: ,STREET 1302 Cascade DR <br /> crry Everett STATE WA ZIP 98203 <br /> OWNER PHONE: na OWNER EMAIL:-na <br /> CONTRACTOR NAME:In House Electric <br /> CONTRACTOR ADDRESS: STREET 1 530 117th DR SE <br /> cr,,,Lake Stevens STATE WA zip 98258 <br /> CONTRACTOR PHONE:4257603203 (CONTRACTOR EMAIL: iheperrnits gmai.Lcom <br /> CONTRACTOR LIC. REQUIRED): inhoues952qg ITY OF EVERETT BUSINESS UC.#(REOUIRED):044168 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR CI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4257603203 <br /> Kelsey CONTACT EMAIL:.ihepaymentr@gmail.com <br /> AGREEMENT:(hereby certify Mat'have read andexaminedthfa application.and know the same to be hue and correct. Al provisions of laws and orxenances gang this type <br /> et work vnll be corrpteted whetherspecified herein or not. The granting a permitdoes notpresume to gore:ahfhedtf to violate or cancel the prnvisionsof.any otherstate ar- <br /> ocalaw .construction or the petformance oJ:ccnstructlun: That lam aothorizedbythe owner of this property to pens rrn the Wrk tor which application Is mode and i <br /> .comply with the State Contrectoottaw iaa27RGW end 296.200 WAC. <br /> OF W <br /> i/ City of Everett Mist Use Only <br /> PERMIT <br /> 4/2'7/71(b <br /> Owner/ •kr. .Agent . r Date (Revised 9113(2018) <br /> Scanned with CamScanner <br />