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age : 2 of 2 <br />E #3606914517 <br />07/2/2015 09:28 AM T0:1425257885? FROM: Kate Anderson <br />ELECTRICAL PERMIT APPLICATION <br />C[TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />1005 W. Mukilteo Blvd, Everett WA 98203 <br />PROJECT ADDRESS <br />Bruce Sjoquist <br />owner <br />Tenant <br />1005 W Mukilteo BLVD <br />Mail Address <br />Mail Address <br />Amped Electric & Mechanical LLC PO Box 868 <br />Electrical Contractor Mail Address <br />AMPEDEM907D4 <br />State License Number (required) <br />Single Family Residence <br />Proposed Use of Building <br />Everett <br />City <br />City <br />Everett <br />City <br />Square Footage (If residentiai new construction, remodel or addition) <br />Number of devices (If low voltage) <br />add two circuits for furnace <br />Description of Work to Be Done: <br />WA 98206 360-920-4157 <br />State/Zip Phone <br />State/Zip <br />WA/98206 <br />State/Zip <br />Phone <br />425-583-6414 <br />Phone <br />#048712 <br />City of Everett Business License Number (required) <br />$300.00 <br />Contract Price of Work <br />Andrew Stipech andyC�ampedelectricllc.com <br />Contact Person/Contact Number/Email <br />FE E <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� O� <br />l hereby certify that ! have read and examined this application and know the same to be true and <br />correct. AlI provisions of laws and ordinances governing this type of work will be completed <br />whethe� specified he�ein or not. The granting of a permit does not presume to give autho�ity to PERMIT# <br />violate or cancel the provisions of any other state or loca! law regulating construction or the � <br />performance of construction. That I am authorized by the owner of this property to peiform the ��D �— D�� <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�ak�e �rida.�oan <br />Signature <br />REVISEU US�OC�l2014 <br />7-2-2015 <br />Date <br />PH <br />