Laserfiche WebLink
Egq2064915506 <br />11/19/2019 12:46 PM T0:1425257a857 <br />F�OM: Donna IIarner <br />ELECTRICAL PERMIT APPLlCATION <br />CI TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />519 Welmore Avenue <br />PROJECT ADDRESS <br />M�ke Lntle <br />Ownef <br />Tenant <br />519 Wetmore Avenuc <br />R1an Adaress <br />61ai1 AdEress <br />AMP[D EIer.Uic & Mechanical, LLC PO Box 868 <br />ElOctacal Crntractof M1feJ AtlCress <br />AMPED[M9D7D4 <br />date License Number (required) <br />Single f�amdy Resdence <br />Proposed Jse ol 6uiiding <br />Square Foolage (II resideNial new conslruUron, remodei or addition) <br />Number of devices Qf low vollage) <br />EvercU <br />CAy <br />City <br />Everat <br />Ciiy <br />Descnphon of Work to Be Done. Instail cucwts for existing heat stnp <br />L=i�!1-I11 <br />��_�c_�y <br />WA/96201 425�251�3153 <br />State/Zip Pnonc <br />518IelZiD Phone <br />WAI9B206 n25�583�64ta <br />Slate/ZiD Phone <br />a oao�i z <br />Gty ol Everett Business License Number (required) <br />Coniraa Price of Work <br />Contact Person/ConWct NumbedEma�l <br />FE[ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 j� O� <br />�J <br />! hereby cerlAy fhnl f have read and examined fhis applica(ron and know fhe same 10 Ge true and <br />correcf A/l proviswns ollans and ordmances goverruno Ihis fype ol �vork will be comple(ed <br />whether specdied herem or not. The gran6ng o! a permi( does not presume 10 give au(honty� to PERh11T# <br />violafe or cancel lhe provrsions o{ any olher stafe or local la�v �egulalrng conshuchon or the ^�� r r_ I� r <br />perfomrance ol consfruclion. That I am au(honzed by fhe owner o/fhrs propeRy fo pedurm ffre t I� I <br />work lor �vh�ch appl�cahnn rs made and I comply rvdh the S7afe Con(iattors Law 18.27 RCW and <br />29G 200 WAC. <br />_1'onnn .`Ilnvnrr <br />SigneNre <br />Femsea oaawlo i. <br />11119l20?A <br />PH <br />