1003 HARBORVIEW LN 2016-10-20 - Laserfiche WebLink

24-Sep-2016 01:06 From Mike Walker. Phone ##3602948276 FaxZero.com p.2 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits ::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ............................................................................................................................................................. € R±lE± i t�l1�"C`lii iiiiiiiiiiiiiiiiiiii;;iiiiiiiiiiiiiiiiiiiiiiiiiii ; iiiiiiiiiiiiiiiiiiii ;i ............................................................ ...... . . ........................ ..................:..'�....�;>I" ...1.R!#, QR. PROJECT ADDRESS: 1003 Harborview Lane Everett WA BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ....................:::....................:...::...................:.....:..:......................:.....::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::::::::::::::::::::: .. .. ::::::.. ....... :: i ){ �:CA 7 IIc 11 :.:1 1 .. A....6 :::: `.`.: :.......:::: .iiiii...::::::: CONTRACT PRICE OF WORK: $ 300.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES O ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Add circuit for furnace ........................................... ..:.:.:.:.:.:.:.:. .......:.i ; .......... i:_ ... :is... :... :::::......:::::::......:isi ................... ...........................:.....:::::: : ............... OWNER NAME: David Claude TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET 1003 harborview Lane CITY Everett STATE WA zip 98203 OWNER PHONE: 425.258.1386 OWNER EMAIL: .............................................................................................................................................. CONTRACTOR NAME: Am ed Elelctric and Mechanical LLC CONTRACTOR ADDRESS: STREET PO BOX 868 CITY Everett STATE WA zip 98206 CONTRACTOR PHONE: 360294.8276 CONTRACTOR EMAIL: info@ampedelectricllc.com CONTRACTOR..LIC.. .#..REQUI. RED : AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#REQUIRED : 048712 .......................................... .................................................................................................................................................... PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 206 724 1188 Mike Walker CONTACT EMAIL: mikew@ampedelectricllc.com AGREEMENT Thereby certify that 1 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/am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 286.200 WAC. City of Everett Official Use Only FEE PERM T Q 9/23/2016 E O Owner/Authorized Agent Signature Date (Revised 10/12/2015)