5118 S 2ND AVE BETHANY CHRISTIAN ASSEMBLY 2019-05-22

ELECTRICAL PERMIT APPLICATION /44+14 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I vwvw.everettwa.gov/permits PROJECT ADDRESS: 5118 S 2nd AVE #B1 Everett, WA BUILDING AREA(if residential, new construction, remodel,or addition)5536 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 11 0 COMMERCIAL USE OF BUILDING: housing 171 i,yNa F „ , . L' ''Zf ' IIw O .: \i: R n ..u«.. ,t«yam V.'}`"M CONTRACT PRICE OF WORK: $ 300 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES I l NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Add 1 switch and recess can, modifying 1 circuit OWNER NAME: Bethany Christian Assembly TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5118 S 2nd ave C,Ty Everett STATE WA ZIP 98201 OWNER PHONE: 360-572-0342 OWNER EMAIL: CONTRACTOR NAME: Active Engineering/Neighborhood Electric CONTRACTOR ADDRESS: STREET 6605 200th St SW CITY Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE:425-776-8119 CONTRACTOR EMAIL: admindesk@activeengineering.net CONTRACTOR LIC.#(REQUIRED): ACTIVE*088MS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 026248 PRIMARY CONTACT: 0 OWNER QI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4256830984 wayne Sandals CONTACT EMAIL:WSandall@activeengineering.net 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 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 local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# r p 5/17/18 E 19)05- l'b6 Owner/Authorized Agent Signatu 3 Date (Revised 9/23/2016)