2324 ROCKEFELLER AVE 2017-10-25 - Laserfiche WebLink

26-Sep-2017 03:27 From Mike Wer. Phone #3602948276 FaxZero.com p.2 10 0 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) everetteps@everettwa.gov I www.everettwa.gov/permits PR...t?.J..EGT. �T .#NFCMAT .Q:N: .. >:: .: :. PROJECT ADDRESS: 2324 Rockefeller Ave BUILDING AREA(if residential, new construction, remodel, or addition) NA SF BUILDING TYPE: ❑SFR-DETACHED la SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: Residence I.E RICA APPhIGA71QI INFORMATION CONTRACT PRICE OF WO $500 NUMBER OF DEVICES (if low olta e): FIRE ALARM? ❑YES 8 O ASSOCIATED BUILDING PERMI If applicable): DESCRIPTION OF WORK: 4Heatpump .. .................................... ..... . CONTACT INFORMATION OWNER NAME: Sam Bass TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2324 Rockefeller Ave ,„Y Everett STAGE WA z,p 98201 OWNER PHONE: 425-308-1666 OWNER EMAIL: CONTRACTOR NAME: Amped Electric and Mechanical LLC CONTRACTOR ADDRESS: STREET PO Box 868 CITY Everett STATE WA zip 9 CONTRACTOR PHONE: 360 -294-8276 CONTRACTOR EMAIL: Info@)ampedelectricllc.com CONTRACTOR LIC.#(REQUIRED): AMPED907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED : 048712 PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑11 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 206 724 1 188 Mike Walker CONTACT EMAIL: Mikew@)ampedelectriclIc.com AGREEMENT:/hereby certify that/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/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. City of Everett Official Use Only PERMIT# 9/25/17 E 1`70 l 2, Owner/Authorized Agent Signature Date (Revised 9/23/2016)