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4-Jan-2017 ZZ:Z5 From Mike Walker. Phone #3602948276 FaxZero.com p.2 <br /> terr ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 2208 Chestnut St <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Residence <br /> .E; TRIIG;R�,APDL II0410 N IINFORMATIION <br /> CONTRACT PRICE OF WORK: $ 500.00 <br /> NUMBER OF DEVICES (if low vo age),:, A <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): NA <br /> DESCRIPTION OF WORK: Add 50 amp circuit for car charger <br /> gONT`AGT NFORMATIoN <br /> OWNER NAME: Luke Steitz TENANT NAME(It Commercial): <br /> OWNER MAILING ADDRESS: STREET 2208 Chestnut St <br /> ,,,., Everett SIAJE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: inphynit314@gmail.com <br /> CONTRACTOR NAME: Amped Electric and Mechanical LLC <br /> CONTRACTOR ADDRESS: STREET PO Box 868 <br /> CITY Everett STATE WA ZIP 98206 <br /> CONTRACTOR PHONE: 360.294.8276 CONTRACTOR EMAIL: info@ampedelectricllc.com <br /> CONTRACTOR LIC.#(REOUIRED): AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRE. : 04871 <br /> PRIMARY CONTACT: ❑OWNER 121 CONTRACTOR 0 OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.724.1 188 <br /> Mike Walker CONTACT EMAIL: info@ampedelectricllc.COr <br /> AGREEMENT:I hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 <br /> 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 l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 7116a1,-A2/2, 1 /4/2017 E -o --0C- -- <br /> Owner/Authorized Agent Signature Dale (Revised 9/23/2016) / <br />