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4E77 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1802 75th St. SW. Everett, WA. 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 23,146.00 <br /> NUMBER OF DEVICES (if low voltage): 53 <br /> FIRE ALARM? ❑YES I l NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: New Access control system, Access Control, readers, door contacts, batteries, <br /> Request to exit devices, power supplies <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Snohomish County PUD <br /> OWNER MAILING ADDRESS: STREET 1802 75th St. 98203 <br /> ciTy Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (253) 573-7999 OWNER EMAIL: <br /> CONTRACTOR NAME: Johnson Controls Security Solutions <br /> CONTRACTOR ADDRESS: STREET 19625 62nd Ave. S. Suite C112 <br /> c,Ty Kent STATE WA zip 98032 <br /> CONTRACTOR PHONE: 5034512055 CONTRACTOR EMAIL: Tjy.Helms@JCI.COm <br /> CONTRACTOR LIC.#(REQUIRED): JOHNSCS837N4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052829 <br /> PRIMARY CONTACT: ❑OWNER VI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 971-294-1320 <br /> Tjy Helms CONTACT EMAIL: Tjy.Helms©JCI.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 type <br /> 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 /> PERMIT# <br /> Tjy Helms 12/14/18 E ( t , <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />