747 75TH ST SE THE LAKESIDE 2020-02-19

�LECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PR�JECT SITE INFDRMATION ' PROJECT ADDRESS: 747 7�JtI1 St SE #A2O'rJ BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS:4 ❑ COMMERCIAL usE oF Bui��iNc: Residence Condo ELECTRICAL APPLICATIAN INFORMATION CONTRACT PRICE OF WORK: $ 1500.00 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES � NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Panel change. Same amperage. CONTACT iNFORMATION OWNER NAME: LIIldS2y EIt011 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer 747 75th St SE #A205 �,n Everett STATE WA Z,P 98203 OWNER PHONE: 2O6-Z26-H79H OWNER EMAIL: coNTRAcroR NannE: Amped Electric & Mechanical LLC CONTRACTOR ADDRESS: sTReer PO BOX H6H c,T, Everett STATE WA Z,P 98206 CONTRACTOR PHONE: 360-294-8276 CONTRACTOR EMAIL: IClfO p�al'1'lp@Clel@CtC'ICIIC.COCII coNTwacTOR�ic.#�REQuiREo�: AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O4H7"I Z PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 724 1 188 Mike Walker coNra,cr EMai�: Mikew@ampedelectricllc.com AGREEMENT:1 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 1 am authorized by the owner of this property to perform the work for which app/icatron is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# ��. 2/12/18 E `�� Owner/Authorized Agent Signature Date (Revised 9/23/2016)