4811 W GLENHAVEN DR 2019-03-21 - Laserfiche WebLink

OLT ELECTRICAL PERMIT APPLICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 4811 W Glenhaven DR BUILDING AREA(if residential, new construction, remodel. or addition) SF BUILDING TYPE: 0 SFR-DETACHED m SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence ELE•TRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: 500.00 NUMBER OF DEVICES (if low vs tage): FIRE ALARM? ❑YES Fi 'O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: FAU Electric CONTACT INFORMATION OWNER NAME: Kevin Tillet TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4811 W Glenhaven DR c,T, Everett STATE wa ZIP 98203 OWNER PHONE: 425-293-3548 OWNER EMAIL: CONTRACTOR NAME: Amped Electric & Mechanical LLC CONTRACTOR ADDRESS: STREET PO BOX 868 CITY Everett STATE WA ZIP 9:_,06 \\ CONTRACTOR PHONE: 360-294-8276 CONTRACTOR EMAIL: Info@ampedelectricllc.com CONTRACTOR LIC.#(REQUIRED): AMPEDEM9O7D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-724-1188 Mike Walker CONTACT EMAIL: Mikew@ampedelectricllc.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# 1 /11 /18 E -- S Owner/Authorized Agent Signature Date (Revised 9/23/2016)