2232 MONROE AVE 2017-10-24 - Laserfiche WebLink

18-Nov-Z016 02:06 From Mike Wer. Phone #360Z94BZ76 to FaxZero.com p.3 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everettepsgeverettwa.gov www.everettwa.gov/permits !PRQAECTi SITE NFORMAT#aRt4; PROJECT ADDRESS: 2232 Monroe Ave BUILDING AREA(if residential, new construction, remodel, or addition) 1200 SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residence .. CONTRACT PRICE OF WORK: $ 50 NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT# (if applicable): CW1604-005 DESCRIPTION OF WORK: Temp power pole tNTAGT INFtRh11ATIC><N OWNER NAME: Calib Widen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7010 73rd PL SE ,,n Snohomish S,A,E WA zw 98290 OWNER PHONE: 245-374-9409 OWNER EMAIL: .............. ..... ...... _............ ........ .. .. ...... . .........._.... CONTRACTOR NAME: Amped Electric & Mechanical LLC CONTRACTOR ADDRESS: STREET PO Box 868 G,Ty Everett STATE WA zip 98206 CONTRACTOR PHONE: 360-294-8276 CONTRACTOR EMAIL: infogampedelectricllc.com CONTRACTOR LIC.#(REQUIRED): AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 _ _..._.._.._ ............ .. _. ... . ...... ..........__... ....... ... . PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 206-724-1188 Mike Walker CONTACT EMAIL: AGREEMENT:/hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. o City of Everett Official Use Only PERMIT# � - 11 /16/16 E [V < - � 2� Owner/Authorized Agent Signature Dale (Revised 923/2016)