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ELECTRICAL PERMIT APPLICATION <br /> /111,--1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 f (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 1870 Ross Ave Everett, Wa. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED Cl DUPLEX D MULTI-FAMILY-#OF UNITS: Ca COMMERCIAL <br /> USE OF BUILDING: Marina <br /> :;.:EIE:RC'TRICAL`: PPLICATION:IN RMA: :Ib.N:: .,::::.. <br /> CONTRACT PRICE OF WORK: $ 30K <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES WI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install new PUD power pole with 1000 amp service with 1200 amp feeder <br /> • <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Dagmars Marina <br /> OWNER MAILING ADDRESS: STREET 1870 Ross AVE <br /> crry Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-257-8737 OWNER EMAIL: <br /> CONTRACTOR NAME: Active Engineering/Neighborhood Electric <br /> CONTRACTOR ADDRESS: STREET 6605 200th St SW <br /> cly Lynnwood STATE WA zip 98036 <br /> CONTRACTOR PHONE: 425-776-8119 CONTRACTOR EMAIL: Jhowe@activeengineering.net <br /> CONTRACTOR LIC.#(REQUIRED): ACTIVE*O88MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 026248 <br /> PRIMARY CONTACT: ❑OWNER QI CONTRACTOR 0 OTHER(Please Specify) Electrician <br /> CONTACT NAME: CONTACT PHONE: 206-683-0984 <br /> Wayne Sandal! CONTACT EMAIL:WSandall©activeengineering.net <br /> 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 <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 l am authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only fi <br /> PERMIT# <br /> EI bos - \Bui <br /> 511 i ? <br /> Owner/AutI orIzed Agen tura Dte (Revised 9/23/2016) <br />