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ELECTRICAL P!RMIT & FIRE ALARM PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> * _ 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-2577-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 6600 HARDESON ROAD EVERETT,WA 98203 <br /> PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL <br /> BUILDING AREA: 64,750 sq ft <br /> ELECTRICAL APPLICATION INFORMATION ' <br /> CONTRACT PRICE OF WORK:$22,912.00 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> IS THIS LOW VOLTAGE WORK? El NO EYES-#OF DEVICES:152 <br /> IS THIS A FIRE ALARM PERMIT? ❑NO ✓❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) <br /> :DESCRIPTION OjWORK & CODE COMPLIANCE <br /> DESCRIPTION OF WORK: INSTALLATION OF BUILDING FIRE ALARM SYSTEM <br /> IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: O NO E]YES--See Below&Pg.2 <br /> 1 1 By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 <br /> of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not <br /> See Page 2 require Plan Review. <br /> ARE YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ONO EYES-See Below&Pg.3 <br /> f Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without <br /> the proper electrical licensing and certification,or exemption.By checking this box,I am stating that I have completed and signed the <br /> See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. <br /> CONTACT INFORMATION <br /> OWNER NAME: IRON MOUNTAIN TENANT BUSINESS NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET745 ATLANTIC AVE <br /> cIT, BOSTON STATE MA ZIP 02111 <br /> OWNER PHONE:425-349-4510 OWNER EMAIL: <br /> CONTRACTOR NAME:FIRE PROTECTION SPECIALISTS LLC <br /> CONTRACTOR ADDRESS: STREET3624 E SPRINGFIELD AVE <br /> CITY SPOKANE STATE WA ZIP 99202 <br /> CONTRACTOR PHONE:509-324-1844 CONTRACTOR EMAIL:destry.kelly@firepro-wa.com <br /> CONTRACTOR LIC.#(REQUIRED):FIREPSL014CC CITY OF EVERETT BUSINESS LIC.#(REQUIRED): IN PROCESS <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:509-324-1844 <br /> DESTRY KELLY CONTACT EMAIL:destry.kelly@firepro-wa.com <br /> 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 <br /> 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 <br /> 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 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> teS—g-itil V1144'46/ I SA 3//Y AI 18/A <br /> Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page 1-Application <br />