120 SE EVERETT MALL WAY BLDG 7 2020-02-04

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 ( (E) everetteps@everettwa.gov ( www.everettwa.gov/permits _. PRtaJECT' tITE IN1F'C�fMAT1CN ' PROJECT ADDRESS: 120 southeast Everett mall way j '7 BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: D SFR-DETACHED ❑SFR-ATTACHED ®DUPLEX ®MULTI-FAMILY-#OF UNITS: 8 ❑COMMERCIAL USE OF BUILDING: Bldg 7 ELECTRICAL APPO"CATION IINIFORMAT 4 IV CONTRACT PRICE OF WORK: $ 2,150.00 NUMBER OF DEVICES it low voltage): 1 FIRE ALARM? ®YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Replacing fire alarm panel CONTACT INFORMATION OWNER NAME: Fultons Crossing TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s EET 120 SE Everett Mall Way Everett, WA 98208 STATEWA 7,p 98208 OWNER PHONE: 4253480737 OWNER EMAIL: FultonsCrossingMGR@pinnacleliving.com CONTRACTOR NAME: Innovative Systems Tech, Inc CONTRACTOR ADDRESS: STREET 1402 Lake Tapps Pkwy SE Ste 104-147 CITY Auburn STATE WA z,p 98092 CONTRACTOR PHONE: 2538911226 CONTRACTOR EMAIL- theoffice@innovativesystemstech.com CONTRACTOR LIC.#(REQUIRED): Innovst881 B4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 263891 1226 Mark Jensen CONTACT EMAIL:theoffice@innovativesystemstech.Com AGREEMENT.t hereby certify that 1 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/am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200''VAC. City of Everett Official Use Only PERMIT# Owner/Authorized Ag t Signature Date (Revised 9/23/2016)