2127 W MUKILTEO BLVD 2018-05-30 - Laserfiche WebLink

29-Mou-2016 03:26 From Mike IIihir. Phone #3662948276 FaxZero.com p.2 OLT 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 � Il�i �I1�.lA1F�1�:1r�lk� PROJECT ADDRESS: 2127 Mukilteo BLVD BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residential CONTRACT PRICE OF WORK: $ 500 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Ductless heat pump OWNER>:,:..... NAME:Cu SOn::�:;.................... ...............................................................................................................................:.......................... ............. � ,••• ...•• • • • (If•••, ,, .•, ag-Potsir 6/9 W'" � TENANT NAME Commercial): OWNER MAILING ADDRESS: sTREET 2127 Mukilteo Blvd CITY Everett STATE wa ZIP 98203 OWNER PHONE: 425-359-7333 OWNER EMAIL: •CONTRACTOR NAME: Amped Electric & Mechanical LLC CONTRACTOR ADDRESS: STREET PO Box 868 crry Everett STATE wa ZIP 98206 CONTRACTOR PHONE: 360-294-8276 (CONTRACTOR EMAIL: info@ampedelectriclIc CONTRACTOR LIC.#(REQUIRED): AMPEDEM9O7D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 PRIMARY CONTACT: 0 OWNER la CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-724-1188 Mike Walker CONTACT EMAIL: AGREEMENT:I hereby certify that l 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 71/1-142, 6e9 11 /28/2016 EIf(?) Owner/Authorized Agent Signature Date (Revised 9!13/2016)