Laserfiche WebLink
rom 3606914517 Mon 09 Nov 2015 01 : 53 : 02 PM EST Pa�e 2 of 2 <br /> ELECTRICAL PERMIT APPLICATION <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-?57-8857 —www.everettwa.org <br /> E 1��J - D y7 <br /> C- <br /> 53�3 College� Everett VVA 9B203 I 1 ` �' ,5 <br /> PROJECT ADDRESS <br /> Hayley Taylor 5303 College Dr Everett WA, 98203 425-239-5157 <br /> Q„vnef Mad Aadress Gty SlatelLp Fhone <br /> Tenant Ma�lAddress City Statc2�p Prone <br /> Amped Electnc 8 Mechanical LLC PO Box 668 Everett Wa98208 425-583�8•714 <br /> Electncal Contraclor Man Pddress Cily State2ip Phonc <br /> AM1IPEDEN907D4 ��SB7i2 <br /> State License Number(require.:) Cdy oi Everett Business License Number(required) <br /> S�ngle Family Residence 5300.00 <br /> Proposed Uso of �wlding CoMroc:Pnce o(Work <br /> Anr,rew St�pech�360-691�7517/mfo@ampedetectricilc c m <br /> Square Footage(If resitlential new construction, remodel or atldiUon) Gontact PersonlContact Number/Emaii <br /> Numhcr of devices (I(lowvoltaqe) <br /> add Avo circuds for tumace <br /> Descnplion ol Work to Be Done� <br /> FEE <br /> CITY OF EVERETi LOCAL SALES TAX CODE IS J705 � G1� O j <br /> f hemby cert�7y fhaf I have read and oxamined th�s applicabon and know the same to be frue a�d •J`/ �� <br /> conect. All prov+sions o!laws and ordinances govemrng fh�s type o!�vork w�ll be completed � <br /> �vhelher spoafieU herein or nol. The grantmg ol a permd does not prasume to grve authonty to PERMCf# <br /> vrolale or cancel the provisions ol any other state orloc2l law�egulafing conshucGon a fhe ^ I�' I/O� `� <br /> peAormance of construction. That 1 am aufhonzed Gy the owner ol fhis property to per/orm lhe t �-i <br /> H�ork(or�ehich applrca6on is made and I rnmply wrth!he Stafe Contractors Law 18.27 RCV✓and <br /> 296.200 WAC. <br /> `�;` �c�^ 11-9-2015 <br /> SignaWre Uate <br /> FEV'SEC0605:ON <br />