906 SE EVERETT MALL WAY POLYWORKS 2019-09-05

477. ELECTRICAL PERMIT APPLICATION 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: 906 SE Everett Mall Way 120 BUILDING AREA(if residential, new construction, remodel,or addition)1028 SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Office Building ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ -"3Fi0 99-•a ,o0 1►3 e-SVOLA5 r`ft- �o � NUMBER OF DEVICES (if low voltage): 11 �j(i!� i -TET -J2 FIRE ALARM? IZI YES ❑ NO t,,,.t t•I ASSOCIATED BUILDING PERMIT#(if applicable): .1 0'.2.—rt—i0 DESCRIPTION OF WORK: Adding a booster panel and 10 devices to the existing fire alarm system. CONTACT INFORMATION OWNER NAME: Pflueger Everett Holdings LLC TENANT NAME(If Commercial): Polyworks OWNER MAILING ADDRESS: STREET 906 SE Everett Mall Way cm, Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Western States Fire Protection CONTRACTOR ADDRESS: STREET 14690 NE 95th ST#101 CITY Redmond STATE WA ZIP 98052 CONTRACTOR PHONE: 425-881-0100 CONTRACTOR EMAIL: seth.zehnder@wsfp.us CONTRACTOR LIC.#(REQUIRED): WESTESF906P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): )0553 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-478-9709 Seth Zehnder CONTACT EMAIL: seth.zehnder@wsfp.us 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# (02'1 -M rt 02_-oc2, Owner/A thorized Agent Signature Date (Revised 9/23/2016) I