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2201 36TH ST PRAXAIR 2020-02-24
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2201 36TH ST PRAXAIR 2020-02-24
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Last modified
2/24/2020 3:48:02 PM
Creation date
2/24/2020 3:47:41 PM
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Address Document
Street Name
36TH ST
Street Number
2201
Tenant Name
PRAXAIR
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f• <br /> ELECTRICAL PERMIT APPLICATION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> .� , .- 4 -„0w_..00 0, ::: ;. „' _PRQJECT SITE':INF,ARMAT Ow i 4, , <br /> PROJECT ADDRESS: 2201 36th Street BUILDING AREA: 23600 sq ft <br /> PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ©TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ©COMMERCIAL <br /> . ; lam- ELEVTRIC,f g APPLICATION NI IRIIVIATI, 1N.* ESCRIPTIONONS '01 1 W <br /> CONTRACT PRICE OF WORK:$ 899.00 ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIBE SCOPE OF WORK: <br /> Installing a new security panel, communicator, 5 contacts, 3 motions, 2 ceiling motions, and 2 keypads <br /> THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) <br /> LINE VOLTAGE WORK? © NO ❑YES-Select Scope:❑ Service ❑Feeder E Circuits-#: ❑Complete Re-wire <br /> LOW VOLTAGE WORK? ❑NO ©YES-#of Devices:14 <br /> SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑Secure Access © Security System <br /> El Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional <br /> Fire Alarm Permit is required for review of device location and installation approval. <br /> 0 Other(List All): <br /> ` r M? .�'' ',t �.' .,” *"fir,' ,' "iii 3 x " - -fi 'T .ri 2 s�'r.''a`x' �} z <br /> --.s, .,� _. -� �,.� �..�,����� �-�- ���-3���.�.� G�QE C,OMP�,I�#NCE � �� <br /> IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ©NO El YES--See Below&Pg.2 <br /> 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 YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ❑✓ NO DYES-See Below&Pg. 3 <br /> Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease <br /> without the proper electrical licensing and certification,or exemption. By checking this box,I am stating that I have completed and <br /> See Page 3 signedpage applicationan exemption from this licensing/certification requirement <br /> the AFFIDAVIT on a e 3 of this to receive <br /> OWNER NAME: Tony Layson TENANT BUSINESS NAME(If Commercial): Praxair <br /> OWNER MAILING ADDRESS: STREET 2201 36th Street <br /> cir Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425.407.2528 OWNER EMAIL:tony_layson@praxair.com <br /> CONTRACTOR NAME: Guardian Security <br /> CONTRACTOR ADDRESS; STREET 1743 1st Ave S <br /> crrr Seattle STATE WA zip 98134 <br /> CONTRACTOR PHONE:360.647-0110 CONTRACTOR EMAIL:hmetour@guardiansecurity.com <br /> CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0033443 <br /> PRIMARY CONTACT: DOWNER ['CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360.647.0110 x328 <br /> Heidi Metour CONTACT EMAIL:hmetour@guardiansecurity.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 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 L$w 18. 7 RCW and 296.200 WAC. City of Everett Official Use Only <br /> - /' PERMIT#: <br /> E ©'am <br /> • ner/Authorized Ageptnature at (Revised 1/11/2019) Page 1-Application <br />
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