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4riETT nECTRICAL PERMIT Al LICATION <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: 5010 W: VIEW DRIVE <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: SCHOOL <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 6540.00 <br /> NUMBER OF DEVICES (if low voltage): 6 <br /> FIRE ALARM? Ca YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Modify existing fire alarm system at Lowell Elementary, Portable #5. <br /> CONTACT INFORMATION <br /> OWNER NAME: EVERETT SCHOOL DISTRICT TENANT NAME (If Commercial): LOWELL ELEMENTARY <br /> OWNER MAILING ADDRESS: STREET 4730 COLBY AVENUE <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: JOHNSON CONTROLS <br /> CONTRACTOR ADDRESS: STREET 9520 10TH AVE S. SUITE 100 <br /> CITY SEATTLE STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 206-291-1400 CONTRACTOR EMAIL: JANET.STF_BBINS@JCI.COM <br /> CONTRACTOR LIC.#(REQUIRED): JOHNSCP831 PR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050211 <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-777-4828 JANET; 206-777-4823 ERIN <br /> JANET STEBBINS/ERIN CAZIER CONTACT EMAIL: JANET.STEBBINS@JCI.COM;ERIN.CAZIER@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 l 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 WA C. <br /> City of Everett Official Use Only <br /> Digitally signed by Janet Stebbins <br /> y� <br /> Stebbins DN:cn=Janet Stebbins,o=Johnson PERMIT# <br /> Janet Controls,ou=Operations, <br /> email=janetstebbins@jd.com,c=US 3123/18 E 1( J� )-) (oDate:2018.03.23 08:58:44-0700' <br /> Owner/Authorized Agent Signature Caate (Revised 9/23/2016) <br />