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477 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1417 18th St <br /> BUILDING AREA(if residential, new construction, remodel, or addition) F \ \Q lJ�-� /e 32CJ2- CCS -C(—. <br /> LT <br /> BUILDING TYPE: El SFR-DETACHED ❑ SFR-ATTACHED 173 DUPLEX DUPLEX MU I-FAM IL ID COMMERCIAL <br /> USE OF BUILDING: Residence <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 5000 2S©O <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES I:23 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Rewire both units with remex. add 5 can lights. relocate panels and change service. Serivice to stay in amperage. <br /> CONTACT INFORMATION <br /> OWNER NAME: Luke Nelson TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1417 18th St <br /> cin. Everett STATE WA ZIP 98021 <br /> OWNER PHONE: 206-356-7155 OWNER EMAIL: <br /> CONTRACTOR NAME: Amped Electric & Mechanical LLC <br /> CONTRACTOR ADDRESS: STREET Po Box 868 <br /> CITY Everett STATE WA ZIP 98206 <br /> CONTRACTOR PHONE: 3602948276 CONTRACTOR EMAIL: Info@ampedelectriCllc.com <br /> CONTRACTOR LIC.#(REQUIRED): AMPEDEM987D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 <br /> PRIMARY CONTACT: El OWNER VI CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 724 1 188 <br /> Mike Walker CONTACT EMAIL: Mikew@ampededelectricllc.com <br /> 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> u9a1,62, 3/20/18 E X 7)03- 12q <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />