521 WINTON AVE 2016-10-14 - Laserfiche WebLink

age: 2 of 3 07/22/2015 09:51 AM T0:14252578857 FROM: Kate Anderson P �E #3606914517 _ _ ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 — www.everettwa.org 521 Winton Ave, Everett WA PROJECT ADDRESS Suzann Milton Owner Tenant 521 Winton Ave Mail Address Mail Address Amped Electric & Mechanical LLC PO Box 868 Electrical Contractor Mail Address AMPEDEM907D4 State License Number (required) Residence Proposed Use of Building Everett, WA 98201 City Square Footage (If residentiai new construction, remodel or addition) Number of devices (If low voltage) add two altered circuits Description of Work to Be Done: CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 City Everett City State/Zip State/Zip WA/98206 StatelZip 425-252-8472 Phone Phone 425-583-6414 Phone #048712 City of Everett Business License Number (required) $300.00 Contract Price of Work Andrew Stipech/425-583-6414 /andyCC�ampedel Contact Person/Contact NumberlEmail l f�ereby certify that I have read and examined this application and know the same to be true and correct. All provisrons of laws and ordinances governing this type of work will be completed whefher specified herein or not. The granting of a permit does not presume to give aufhorrty to violate or cancel the provisions of any other state or local law regulatrng construction or the performance of construction. That ! am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. �� c��a� 7-22-15 Signature DaFe REVISED U8i06/2074 FEE � ��G F �� PERMIT# E I��-IlC