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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> r <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> is <br /> (P)425-257-8810 { FAX 425-257-8857 I (E) everetteps@everettwa.gov www,everettvva.gov/permits <br /> is <br /> PROJEIT SITE:INFO ;i <br /> PROJECT ADDRESS: 11311 19th Ave SE Everett, WA. 98208 Building F <br /> BUILDING AREA(it residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: Apartments <br /> i <br /> S. PLI I#I'ItQN �NFOI�MV A7r PN....`.. <br /> CONTRACT PRICE OF WORK: $ 480 <br /> u <br /> NUMBER OF DEVICES if low voltage): 1 <br /> is <br /> FIRE ALARM? ❑YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Extend 20amp Circuit and add (3) Outside light fixtures h <br /> is <br /> ii <br /> 2 <br /> CONTACT JNFQRMITION <br /> OWNER NAME: Bluwater Apartments TENANT NAME(If Commercial): Amber <br /> OWNER MAILING ADDRESS: STREET 11311 19th Ave SE <br /> CITY Everett STATE WA zia 98208 <br /> OWNER PHONE: 425-357-5400 OWNER EMAIL' E <br /> CONTRACTOR NAME: Active Engineering/Neighborhood Electric <br /> CONTRACTOR ADDRESS: 11R11,6605 200th St SW <br /> CITY Lynnwood STATE WA zia 98036 <br /> CONTRACTOR PHONE: 425-776-8119 CONTRACTOR EMAIL: admindesk@activeengineering.net <br /> CONTRACTOR LIC.#(REQUIRED): ACTIVE*088MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 026248 <br /> PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-357-8400/206-571-7965 <br /> AMBER / LUCAS CONTACT EMAIL: <br /> AGREEMENT'1 hereby certify that 1 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 t am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC, <br /> a <br /> d <br /> r. <br /> City of Everett Official Use Only <br /> I, <br /> PERMIT# I' <br /> ')-�f�Ukl Ell D7, )0(o I; <br /> Owner/Authorized Agent Signature Date (Revised 912312016) .i <br /> ii <br /> E <br /> ikt <br /> F <br /> N <br />