5126 S 2ND AVE EVERETT GOSPEL MISSION 2019-09-30

07/26/2017 16: 19 142577510 ACTIVE ENGINEE4 PAGE 02/02 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES (OOL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425257-8857 l (E) everetteps@everettwa.gov i www.everettwa.govlpermits MIA PROJECT ADDRESS: 2222 93i6d BUILDING AREA(If residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHI=D ❑DUPLEX Iii MULTI-FAMILY- OF UNITS: 9_- El COMMERCIAL uSE of BUILDING; Non-profit organization that provides housing .,} r + ;,{.a,,,r, ri1 1tt f'G�ri,l} .lr d?;, ��{,,p�� }yly,yy{µ �yy,,yyy�y r '/�L6{,i. � AC' 1"{{ CONTRACT PRICE OF WORK: $ 450 NUMBER OF DEVICES if low volta e FIRE ALARM? ©YES ® NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Provide and install can light&switch (Suite 6); Change fixture in main room and add GFI&smoke detector. r ' L.i4 1. .1, {!, rise ',t 1 14 r{{ 1 r,� r l"{��F■,I IMtWr.+�,r:r �.+,,.. �f� OWNER NAME: TENANT NAME If Commercial).; EVERETT GOSPEL MISSION OWNER MAILING ADDRESS: STREET 2222 53rd St, SE CrTY Everett STaTE WA 2rp 98203 OWNER PHONE. 360-572-0342 OWNER EMAIL..: CONTRACTOR NAME: Active Engineering/Neighborhood Electric CONTRACTOR ADDRESS. STREpT 6605 200th St SW emy Lynnwood ware WA by 98036 CONTRACTOR PHONE: 425-776-8119 ICONTRACTOR EMAIL: admindesk@activeengineering.net CONTRACTOR LIC.#(REQUIRED): ACTIVE"088MS CITY OF EVERETT BUSINESS LIC.#REQUIRED: 026248 PRIMARY CONTACT; C OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-776-8119 Bill Harris CONTACT EMAIL:admindesk@activeengineering,net AGREEMENT,i hereby certify that t have read and examined this application and know the same to ba troe and oormct. AN prov/slons of laws and ordinences goveming this type of work will be completed whothor specified herein or not, The granting of a permit does not presume to 9(m authority to violate or cancel the provisions of any other state or iocallaw regulating constrvct1cn or the performance ofeonstructlon, That tam authorized by the owner of this property to perform the worts for which appllcatlon is made and I COMM with the State Contractors Law 78.27 ROW and 296.200 WAC, City of Everett Oficial Use Oniy PERMIT# own©r/A uthorized Agent Signature Date (Revised 9123,2096)