332 SW EVERETT MALL WAY UNION BANK 2019-09-05

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 l www.everettwa.govtpermits PROJECT SITE INFORMATION PROJECT ADDRESS: 332 SW Everett Mall Way BUILDING AREA(if residential,new construction,remodel,or addition)500 SF BUILDING TYPE: CI SFR-DETACHED 0 SFR ATTACHED CI DUPLEX 0 MULTI-FAMILY-#OF UNITS: in COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1500 NUMBER OF DEVICES(if low voltage): 2 FIRE ALARM? ®YES C]NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Add lx Notification.Devices to the existing Edwards EST Fire Alarm Control Panel CONTACT INFORMATION OWNER NAME:Union Bank TENANT NAME(If Commercial): Union Bank OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL; CONTRACTOR NAME: Cosco Fire Protection CONTRACTOR ADDRESS: STREET 4308 S. 131St PI CITY Tukwila STATE WA MP 98168 CONTRACTOR PHONE: 2065560234 'CONTRACTOR EMAIL: mdewaard@coscofire.com CONTRACTOR LIC.#(REQUIRED): COSCOFP935MS (CITY OF EVERETT BUSINESS UC.#(REQUIRED): 024164 PRIMARY CONTACT: CI OWNER Q1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2065560234 Michael DeWaard CONTACT EMAIL:mdewaard@Coscoffre.com AGREEMENT:I hereby cerb7y,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 lam authorized by the owner of this property to perform the work for which appfcation is made and I comply with the State Contractors Law 1927 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# El M1- lO4 + horized Age Signature Date (Revised 9/23/2016)