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age : 2 oL 2 OS/14/2015 13 : 49 PM T0: 1425257Ba57 PROM : Andrew Stipech <br /> JNE H3606914517 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � ��S <br /> 425-257-8810 - FAX 425-257-8857-wv.�w.everettwa.org �-� <br /> E-l5v 5`d � � <br /> 7622 Eary Slreel. Everclt WA 98203 <br /> PROJECT ADDRESS <br /> Weslon Nielson 7622 Easy Streel [vercll WA 98203 ��5�3aG�8292 <br /> Owner Moil Address Ciry otale2lp � Phone <br /> Tenant Moil Adtlress Ciry Statc2lp Phone <br /> Amped Elcctric& Mechanical LLC �'� Box 86� Everet� ���/98206 A25-583�6414 <br /> Electrical Conlracbr Moil Atltlress City S�ote2ip Phone <br /> 11MPECEM907D4 N048712 <br /> State License Number(required) City o(Everelt Business License Number(requhed) <br /> Singie F.�mdy Residencc 5300.00 <br /> Proposed Use of Building . CoNract Price of Work <br /> Andrew SUpechl425-583-6414�andy�^_�ampedelectndic e�� <br /> Square Footage(Ii resideNial new consiruction, remodcl or addition) Contact PersonlContact NumbedEmail <br /> Numbcr of devices(If low voltage) <br /> add lwo arcuns for turnace <br /> Descnplion oF Work to Be Donc. <br /> FEE - - <br /> CITY O,'- EVERETT LOCAL SALES TAX CODE IS 3705 �r^ Qi <br /> ';iYJ. <br /> I hereby cer;rly�hal I have resd and examined Ihis appl�caGon ond know(he same fo be Irue and <br /> correct All provisions o!laws and orduiances goverrunp this fype ol work�vrll Ge complefed <br /> whefher specdied hercrn or noL The granhng ol a peimd does not presume lo give aufhonty lo P[RMIT# <br /> v�olafe or cancel Ihe p�ov�sions ol any olher slale or focaf la�v ragulahng construction or Ihe ^ I�D� _�� <br /> perlormance ot consfn,chon That I am author2ed by fhe owner o/fh�s properiy lo pedoim fhe t <br /> �vork lor whmh appGcafion rs made and l comply wdh!he Sfale Conl�aclois Ca�v 18.27 RCW and � <br /> 29G 200 WAC. -- — <br /> `_IC�r. (Y:,.k,,,.,,, o5�t4-2ot5 <br /> Sgneturc Uale <br /> r:cvist�vaar:�o i a <br />