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age: 2 of 2 09/15/2015 10:22 AM T0:14252578857 PROM: Kate Anderson � <br />NE k3606914517 <br />ELECTRlCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — �wwv.everettwa.org � � ��j ��$ <br />EtSoq��iz <br />5608 Sound Avc, Evr.rett. WA 98203 <br />PROJECT ADDRESS <br />John Hornann 5608 Sound Ave Everett WA 93203 355-5817 <br />Owner Meil Address City StetelZ�p Phone <br />Tenanl <br />Mail Addmss <br />Amped Eler��ic R Methanital LLC PO Boz 868 <br />EleGtnGal CoNrad01 Ma�l Address <br />.1MPEDEM907D4 <br />Slale License Number (required) <br />Single Family Residencc <br />Proposed Use of Bwlding <br />Square Footage (If residentlal new construction, remodcl or adrition) <br />Nwnbcr of devices QI low voltagc) <br />add lv+o urcwls loi lurnacc <br />Descnption of Work lo �e Donr. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Evereii <br />City <br />SIs1eIZip �hone <br />WA/98206 425-SB3�6414 <br />State/Zip Phone <br />k0A8112 <br />Cny of Evcrett Business License Number (required) <br />5300.00 <br />Conlract Price of Work <br />Mdrew Stipech1425�5A3�641A landy���ampedetr.ctridlc, <br />Contacl PersoNConlacl NumbedEmail <br />I hereby cert�h� thaf ! havc read and examined Ihis appliwfron und know !he snme fo bc hue and <br />coirecL N! provisions ollaws and ordinance.^, governing tlus fy�e ol work wdl be rornpleled <br />wbefher sprcdied hcrem or nof. Thc granhng ol n permil does not presumc lo grce aufhonty fo <br />v�oWfc or cancM fhe provisions ol any ofhcr sfa(c or /owl Imv reoulating cons(�udion or fhc <br />pedomiance ol con ;tracfion ihaf 1 am aufhoiized by fhe owner o! fhrs property fo pedorm (he <br />work !or which apphcafion rs made and I comply wdh Ihc Slalc Confracfors La�v 18.27 RCW and <br />296.200 W�C. <br />`K�x� G.�,k..,.,., oe�is•zo,s <br />Signnturc Dalc <br />LL1qV I�PfiYa'Y.`J�I <br />FEE <br />��jD.oO� <br />�P[RMIT# <br />E 150°I' 112 <br />