3825 SHORE AVE 2018-04-13 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 3825 Shore Ave BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence CONTRACT PRICE OF WORK: $ 500.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Ac unit install OWNER NAME: Sid Schwab TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3825 Shore Ave C,TY Everett STATE WA ZAP 98203 OWNER PHONE: 425-348-3999 OWNER EMAIL: CONTRACTOR NAME: Amped Electric& Mechanical LLC CONTRACTOR ADDRESS: STREET PO Box 868 CITY Everett STATE wa ZIP 98206 CONTRACTOR PHONE: 360 294 8276 CONTRACTOR EMAIL: info@ampedelectriclic.com ampedelectricllc.com CONTRACTOR LIC.#(REQUIRED): AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 724 1 188 Mike Walker CONTACT EMAIL: Mikew@ampedelectriclIc.com AGREEMENT:I 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Nag,Gaz,A4. 2/21/18 E 1202�1Q2 Owner/Authorized Agent Signature Date (Revised 9/23/2016)