2118 PINE ST 2019-04-29 - Laserfiche WebLink

3-May-2017 Z0:45 From Mike !Ulf. Phone #3602948276 FaxZero.com p.2 (001[71r ELECTRICAL 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 PROJECT ADDRESS: 2118 Pine St Everett WA 98201 BUILDING AREA(if residential, new construction, remodel,or addition) 1,400 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence ':':' EHEC:::;:.::.;•.;: ;.:,.:;,•.,;,,•:;;:....;.;.., <» >;> >< ;< ':< CONTRACT PRICE OF WORK: $ $6,000.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ❑NO ASSOCIATED BUILDING PERMIT#(if-applicable): DESCRIPTION OF WORK: House rewire CONTACTM > >• s MMEM `MM >> >'` OWNER NAME: Cozette Fitzhugh TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2118 Pine St CITY Everett STATE WA ZIP 98201 OWNER PHONE: JOWNER EMAIL: CONTRACTOR NAME: Amped Electric& Mechanical LLC CONTRACTOR ADDRESS: STREET PO BOX 868 CITY Everett STATE WA ZIP 98206 CONTRACTOR PHONE: 3602948276 CONTRACTOR EMAIL: info agampedelectric.com CONTRACTOR LIC.#(REQUIRED): AMPEDEM907D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 PRIMARY CONTACT: 0 OWNER 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 Only FEE //te- e PERMIT#] 6?)ae E ` /j 5/3/17 f V -0C1 Owner/Authorized Agent Signature Date (Revised 10/12/2015)