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07/06/2017 15: 02 14257711110 ACTIVE ENGINEF I G PAGE 02/02
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<br /> ELECTRICAL PERMIT APPLICATION
<br /> '' CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa,gov www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 7801 Timber Hill Dr
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: CI SFR-DETACHED 0 SFR-ATTACHED D DUPLEX VJ MULTIFAMILY,#OF UNITS:4 ❑COMMERCIAL
<br /> USE OF BUILDING: Home
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<br /> CONTRACT PRICE OF WORK: $ 450
<br /> NUMBER OF DEVICES (it tow oltage):
<br /> FIRE ALARM? C]YES (,a NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: isolate the neutral wires from the ground wires.
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<br /> OWNER NAME:Tony Souther TENANT NAME Commercial):
<br /> OWNER MAILING ADDRESS: STREET 7801 Timber Hill Drive
<br /> Everett STATE WA zip 98203
<br /> OWNER PHONE: 425-478-6022 OWNER EMAIL:
<br /> CONTRACTOR NAME: Active Engineering/Neighborhood Electric
<br /> CONTRACTOR ADDRESS: STREET 6605 200th St SW
<br /> civ Lynnwood STATE WA zip 98036
<br /> CONTRACTOR PHONE: 425-776-8119 CONTRACTOR EMAIL: admindesk@activeen ineering.ne
<br /> CONTRACTOR LIC.#(REQUIRED): ACTIVE*088MS ICITY OF EVERETT BUSINESS LIC.#(REQUIRED) 026248
<br /> PRIMARY CONTACT: 0 OWNER fra CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-776_$119
<br /> Bill Harris CONTACT EMAIL:admindesk@activeengineering,net
<br /> AGREEMENT:I hereby certify that 7 have read and examined this application and know the same to be true and correct All previsions of laws end ordinances governing this type
<br /> of work will be completed whether specified herein or not. The granting of a permit Coes 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/am authorized by the owner of this property to perform the work for which application Is made and I
<br /> comply with the State Contractors Law I8,$7 RCW and 298.20o WAC.
<br /> City of Everett Official Uee Only
<br /> cl?0:1-11 PERMIT#
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<br /> July 6, 2017' l90 62Ca
<br /> OwnerJAuthorized Agent Signature E l i�
<br /> 9 Date (Revised 923x1016)
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