3716 RUCKER AVE A, B, C, D 2021-04-01

• • ELECTRICAL PERMIT APPLICATION 4/i CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ( (E) everetteps©everettwa.gov I www,everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3716 RUCKER AVE, EVERETT 98201 BUILDING AREA(if residential,new construction,remodel,or addition)5 00 SF BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX I MULTI-FAMILY-#OF UNITS:4 ❑COMMERCIAL USE OF BUILDING: RESIDENTIAL 4-PLEX ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 600 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARM? 21 YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: INSTALL A UL LISTED WIRELESS AES RADIO COMMUNICATOR AND TIE IT INTO THE EXISTING FIRE ALARM SYSTM FOR FIRE ALARM MONITORING CONTACT INFORMATION OWNER NAME: LICHIN MENESES TENANT NAME(If Commercial): BKL 4-PLEX OWNER MAILING ADDRESS: STREET 914 164th St CITY MILL CREEK STATE WA ZIP 98082 OWNER PHONE: 206 384 0683 OWNER EMAIL: CONTRACTOR NAME: FIRE PROTECTION INC CONTRACTOR ADDRESS: STREET 17410 ASH WAY, Ste 8 c, LYNNWOOD STATE WA ziP 98037 CONTRACTOR PHONE: 425 290 9600 CONTRACTOR EMAIL: DAVID@FPISEATTLE.COM CONTRACTOR LIC.#(REQUIRED): FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 290 9600 DAVID MOW CONTACT EMAIL: DAVID@FPISEATTLE.COM AGREEMENT:I hereby certify that/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 I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 1/64 ne Abthorized Agent Signature Date (Revised 9/23/2016)