1419 18TH ST 2019-06-05 - Laserfiche WebLink

tE #1111P0104 -4 CTRICAL PERMIT APINLICATION 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 �p g \ . i ..:'I , .. ., ..IZZ: .... \ `\\ �.. ... .,ve.e. M" PROJECT ADDRESS: 1419 18th St unit 19 BUILDING AREA(if residential, new construction, remodel,or addition)800 SF BUILDING TYPE: 171 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: residence CONTRACT PRICE OF WORK: $ 5000.00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 123 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: rewire OWNER NAME: Deb Nelson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1419 18th St Unit 19 cry Everett STATE WA ZIP 98201 OWNER PHONE: 206-356-7155 OWNER EMAIL: deb@debnelsonhomeS COm CONTRACTOR NAME: Amped Electric and Mechanical LLC CONTRACTOR ADDRESS: STREET PO Box 868 CITY Everett STATE wa Z,P 98206 CONTRACTOR PHONE: 3602948276 CONTRACTOR EMAIL: Info@ampedelectricllc.com CONTRACTOR LIC.#(REQUIRED): AMPEDEM9O7D4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048712 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206 724 1 188 Mike Walker CONTACT EMAIL: mikew@ampedelectricllc.com AGREEMENT:/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# .8/27/1 E I(60(6_ I (?), Owner/Authorized Agent Signature \ Date (Revised 9/23/2016)