2324 63RD ST SE 2018-01-02 MF Import

age: 2 of 2 09/15/2014 02:01 PM ro:14252578857 Fll(?M Donna Rattler E 112064915506 • • F- ELECTRICAL PERMIT APPLICATIO N PJ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR. STREET, EVERETT, WA 98201 425-257-8810 FAX 425-257-8857 — www.evereltwa.org 2324 63rd Street SE PROJECT ADDRESS Margaret Steen 2324 63rd St SE Everett, WA 98203 425-513-9708 'Jwner Mail Addros� City Staletdp Phone Tenant Mad Address City Statelzip Phone AMPED Electric P.O. Box 868 Everett, WA 98206 425-583-64I4 Electrical Contractor Mail Address City StaleJLlp Phone !.1NlPEDEN1907D4 Strie License Number (requued, Single Family Residence Proposed Use of Building 048712 City of Everett Business License Number (required) Contract Price of Work Margaret Steen / 425-513-9708 Square Footage (If residential new construction, remodel or addition) Contact Person/Cnnlacl NumberfEmall Number of devices (II low voltage) Install circuits for ductless heal pump Odscnption of Work to Be Done: FEE p�� CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 5� W7 I hereby certify that l have read and examined this application and know the some to be true and _ correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not, rho granting of a permit does not presume to give aulhonly to PERMIT# violate or cancel the provisions of any other slate or local law regulating construction or the performonde of construction. That I am authorized by the owner of this property to perform the U work for which applicafion is made and I comply with the Stale Contractors Lew 118.27 RCW and 296.200 WAC. NEVISEOOaed. 0, PH