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64/19/2018 12: 27 142577519�0 ACTI�'E ENGINEERTN� PAGE 02%'02 <br /> �LECTRICAL P�'RMIT APPLICATION <br /> C17Y OF EVERETT PERMIT 5�RVICES <br /> 3200 CEDAR STREET, �VERETT, WA 98201 <br /> (P}425-257-8810 � FAX 425-257-8857 � {E) everetteps@everettwa.gov� wvvw,everettwa.gov/permits <br /> ,.. ; ����E'�'�''�1'�''�,`�i���tl�ltl`�� � . ,. <br /> . ,� .., � <br /> PROJECT ADDRESS: �$'I rJ `I OF�FI ST SW EVE3�@ti�, Wa 98204 <br /> 8UIL.DING AR�A(if�eSidBntial, new con5truction, remodel, or addition) �396 SF <br /> BUILD�NG TYPE: �SFR-�ETACHEp ❑ S�R-ATTACHED ❑DUPIEX ❑MULTI-FAMfLY-#OF UNITS; ❑COMMERCIAL <br /> U5B OF BUIL�ING: �@SIC�E,'�ltic7� <br /> ,, .. . <br /> ;,.. .. ; "�.`���i.i�'�.S�V�'���:��`�'�`���i �i�r .'�� ,�,.� ..v <br /> , ;w: <br /> , , , . . . ,. <br /> cO�JTRACT Pf2lc�oF woRK:� 650.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑Y�S � NO <br /> ASSOCiATED 6UI�p�NG F'�RMIT# if a licable : <br /> DESCR�PT10�1 OF WORK: i'eplace bad GFI in Garage,Tu�n GFI into a switch to light above work bench, 1/2 Inch flex to reach new light <br /> CC'�l�l'i'�IICT IN�bR�WIA�'"�'1+1�'11V <br /> oWNER NAME: Daryl Lawson TENA.NT NAME I!Commerciaf : <br /> OWN�R MAILING ADDRESS: sTREEr 181� 106th ST SW <br /> cin, Everett STATE �a ziP 98204 <br /> owrr�R PHONE: 206-355-7199 ow►v�R�n�ni�: <br /> coNrRncroR NqM�: Active Engineering/Neighborhood Eiectric <br /> CONTRqCTOR ADDRESS: sr�EEr 6605 200�h S� $W <br /> ��n. Ly1lnwOod STATE WA zia 98036 <br /> CONTRACTOR PHONE: d25-776-8119 cONTRAGToR EMAi�: .JhOwe@aCtiveengineering.n�t <br /> CONTRACT�R LIC,�REQUIRED): ACTIVE"'088M5 CIT`(OF EV�RETT BUSINESS LIC,#(REqUIRED): OZGZA�S <br /> PRIMARY CONTACT: ❑OWN�R ❑CONTRACTOR �OTHER(Please Specify) _Asst. Sen�ice Manaaer <br /> COMTACT NAME' CONTACT PHONE: 2O6-S71-6O97 <br /> Derek Dow coNT,acT EnnAi�: ddow@activeengineering_net <br /> AGREEMENT.!helgby C�2rYrfy fHat I have read and examined fhfv yppUe9t(on And know tHo Same to Ba tRr2 arid Cor7�tt. All provrsians of lews end ordMances go�emMg thlg ryAe <br /> o�tvork wl�r be cvmpleted w»efher S,oeC�eC A9r'ain or no[. The gra�trng of a perm(f does naf pmsume�o glve Aufhorny fp v(o12It6 0�cartce!fl79 provrsrorts of any othe�Sfate or <br /> loes!!aw regulating conshuctlon or fhe perlwmA�ce of ConslrUctron. THat I am autfiaRZEtl 6y the owner of thrs property to pedpmi fhe wa�k tor whfci�Ap�licAtlort rs maCs and I <br /> C0litply w�7H tHP State Con�rectnrs Lew 18.27 f2CWan�29B,�o0 WAC, <br /> Crty of EvereN Officra!(!se pnly <br /> PER1JIlT# <br /> 4/19/2018 E ; A �� ' l �.Q/� <br /> �7@ilAUth A {gfxthlfs Date {R9VisBtl9r23/2016) <br /> � <br />