3825 SHORE AVE 2018-04-13 - Laserfiche WebLink

ELEt4RICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits 41:.^ W7t\ M kY`z ` c�±n,e,- - f.:, v _ s �: arra PROJECT ADDRESS: 3825 Shore Ave BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ptSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence CONTRACT PRICE OF WORK: $ 800.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES X1 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Add circuit for sub panel i13�'Z\h%N/ ,I.x , � / _ •. CONTA NFORu _ - - .. '��? ,9., ris.J� �e n, � OWNER NAME: Sid Schwab TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3825 Shore Ave cm, Everett STATE WA ZIP 98203 OWNER PHONE: 425-252-3114 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@ampedelectricllc.com CONTRACTOR LIC.#(REQUIRED): AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 PRIMARY CONTACT: 0 OWNER I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-724-1188 Mike Walker CONTACT EMAIL: mikew@ampedelectricllc.com AGREEMENT:T 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 Onl PERMIT# 6e4 2/23/18 E I .0 G- — ( S?g Owner/Authorized Agent Signature Date (Revised 10/12/2015)