515 SE EVERETT MALL WAY BASE FILE 2019-09-05

grr ØECTRICAL PERMIT AP ■CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:515 SE Everett Mall Way Everett,WA 98208 BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL USE OF BUILDING:Green Tree Plaza ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $500 NUMBER OF DEVICE_Lif low voltage FIRE ALARM? ✓YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installing one cellular communicator to replace existing phone lines CONTACT INFORMATION OWNER NAME: Green Tree Plaza 06A TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 16750 NW Naito Parkway Suite 302 CITY Portland STATE OR zip 97209 OWNER PHONE:503-478-4890 OWNER EMAIL: CONTRACTOR NAME:Washington Alarm CONTRACTOR ADDRESS: STREET 2030 Airport Way S CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:206-436-5301 CONTRACTOR EMAIL:Permits@washingtonalarm.com CONTRACTOR LIC.#(REQUIRED):WASHIA1282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):025389 PRIMARY CONTACT:I (OWNER ;ONTRACTOR JJDTHER(Please Specify) Permit Coordinator CONTACT NAME: 1 CONTACT PHONE:206-436-5301 Manny O rn e l a s CONTACT EMAIL:permits@washingtonalarm.com AGREEMENT:T 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 FEE PERMIT# V Diz,V16 E (gro 202, Owner/Au -.Agent Signature Date (Revised 10/12/2015)