1321 SE EVERETT MALL WAY BASE FILE 2019-09-05

/1110/i/----ag ELECTRICAL PERMIT APPLICATION `411W CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 321 SE Everett Mall Wy BUILDING AREA(if residential, new construction, remodel, or addition)450 SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX E MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: former New York Pizza restaurant ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2,670.00 NUMBER OF DEVICES (if low voltage): 1 Fire Alarm Control Panel FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): N/A DESCRIPTION OF WORK: Replace existing Fire Alarm Control Panel for like in kind, due to irreparable nature of existing panel. CONTACT INFORMATION OWNER NAME: Everett Mall 01, LLC TENANT NAME(If Commercial): VACANT OWNER MAILING ADDRESS: STREET 1650 NW Naito Pkway CITY Portland STATE OR Z,.= 97209 OWNER PHONE: 503.222.5100 OWNER EMAIL: CONTRACTOR NAME: Guardian Security Systems CONTRACTOR ADDRESS: STREET 1501 Kentucky Street c,n Bellingham STATE WA ZIP 98229 CONTRACTOR PHONE: 360.647.0110 CONTRACTOR EMAIL: amedawar@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED): GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER l l CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360.440.5518 Anthony Medawar CONTACT EMAIL: amedawar@guardiansecurity.com 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 41111W \IF -. PERMIT B05--' Owner/Authorized Agent Signature Date (Revised 9/23/2016)