11723 23RD DR SE 2020-05-18 - Laserfiche WebLink

ECTRICAL PERMIT APOLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 l (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 11723 23rd Drive SE Everett, WA 98028 BUILDING AREA(if residential, new construction, remodel, or addition) 1590 SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Residence CONTRACT PRICE OF WORK: $ 1500 NUMBER OF DEVICES (if low voltage): N/A FIRE ALARM? 0 YES ® NO ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIPTION OF WORK: Add 2 Circuits 1000 v\ mar ■■ OWNER NAME: Spafford Construction TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 13005 17th St NE Lake Stevens STATE Wa ZIP 98258 OWNER PHONE: (425) 343-9222 OWNER EMAIL: CONTRACTOR NAME: Active Engineering/Neighborhood Electric CONTRACTOR ADDRESS: STREET 6605 200th St SW c,,., Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE: 425-776-8119 CONTRACTOR EMAIL: admindesk@activeengineering.net CONTRACTOR LIC.#(REQUIRED): ACTIVE*088MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 026248 PRIMARY CONTACT: ❑OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2066830984 Wayne Sandell CONTACT EMAIL:WSandall@activeengineering.net 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# 5/21/2018 E "V D S- 15 V Owner/Authorized Agent Signet Date (Revised 9/23/2016)