1525 GRAND AVE 2018-05-01 - Laserfiche WebLink

ELECTRICAL PERMIT APP�ICATI ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits ,�. �� a �• PRo�ecr a��Ress: 724 view ridge Dr BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED �SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: C'@SId211C@ CONTRACT PRICE OF WORK:$ 500.00 NUMBER OF DEVICES if low volta e : FIRE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: 2 zone ductless :. = 4. � ..�� s �� - a�:\ „�.��,' :� ...�-. ��F ��. ........ .� ��. �. �� t�,��..t ;�t:-�. ._- ...,�.�.. .....,. ....��. � . .., _ ,u<: ,.. .,..� .:��„ ,,,, ,....�1�..: OWNER NAME: D8f1 FO�Sh2@ TENANT NAME If Commercial): OWNER MAILING ADDRESS: srReer 724 View ridge DR c,n Everett STATE Wa zia 98203 OWNER PHONE: 425-717-2060 OWNER EMAIL: coNrwacTOR NaMe: Amped Electric& Mechanical LLC CONTRACTOR ADDRESS: srReer PO BOX H6H c,n. Everett srAre WA ZiP 98206 CONTRACTOR PHONE: 360-294-8276 CONTRACTOR EMAIL: It1f0@at'T1peCI8IeCt1'ICIIC.COPTI coNrRacroR uc.#�REQuiREo�: AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0487�Z PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 724 1188 Mike Walker coNracT eMai�: Mikew@ampedelectricllc.com AGREEMENT.-I hereby certily 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 comp/eted whether specified herein or not. The granting of a permit does not presume to give authorify to vio/ate or cance/the provisions of any other state or /oca/law regu/ating construction or the pertormance of construction. That I am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O�cial Use On/y �,�u/p,�,, PERMIT# 12/21 /17 E �'l 2' S� Owner/Authorized Agent Signature Date (Revised 9/23/2016)