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16151 <br /> grr ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> } �.. ..-� ®. <br /> t9 a�smv+m», <br /> rt ( l [ <br /> " ,��.,,.,A „ -�:,Fu ,E � G9 l! n p n.� �.,�rYa'w�.va'i � � "��` .. ,r <br /> PROJECT ADDRESS:1300 44th St SE Everett,WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) ° SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Q✓ COMMERCIAL <br /> USE OF BUILDING: Cornerstone Prosthetics and Orthotics <br /> NPt?RVI"A4k � <br /> .,,,,,w4444�aT� uehl ai.QvAn`Yt,.atagg <br /> CONTRACT PRICE OF WORK: $800.00 <br /> NUMBER OF DEVI voltage :1 <br /> FIRE ALARM? nYES NO <br /> ASSOCIATED BUIL - RMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installation of an AES Radio communicator with Intellitap to replace existing phone lines. <br /> ::::::ORPWHLPIT.5*Zgalgt000000)0#15#44000000 01010 <br /> OWNER NAME: Jerry Luedtke TENANT NAME(If Commercial): Cornerstone Prosthetics&Orthotics <br /> OWNER MAILING ADDRESS: STREET 1300 44th St SE <br /> CITY Everett STATE WA Zip 98203 <br /> OWNER PHONE:(206)605-6642 OWNER EMAIL:Jerry@thereisasolutionit.com <br /> CONTRACTOR NAME:Washington Alarm <br /> CONTRACTOR ADDRESS: STREET 2030 Airport Way S <br /> CRY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206-436-5301 CONTRACTOR EMAIL:Permits@washingtonalarm.com <br /> CONTRACTOR LIC.#(REQUIRED):WASHIAI282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):025389 <br /> PRIMARY CONTACT:nOWNER nONTRACTOR ✓OTHER(Please Specify) Permit coordinator <br /> CONTACT NAME: I CONTACT PHONE:206-436-5301 <br /> Manny O rn e l a s CONTACT EMAIL:Permits@washingtonalarm.com <br /> AGREEMENT..T hereby certify that t have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> rr_ C41.5D <br /> PERMIT# <br /> f/6/11— E 1701 .052 <br /> er/Authorized Agent Signature Date (Revised 10/12/2015) <br />