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<br /> ELECTRICAL PERMIT APPLICATION
<br /> 1 ;. CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 II (E)�eiveretteps@everettjwa,gov 1 www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 9601 EVERGREEN WAY, EVERETT 98208
<br /> BUILDING AREA(if residential, new construction, remodel,or addition) 500 SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING: COMMERCIAL- TORTAS LOCAS
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<br /> CONTRACT PRICE OF WORK: $ 600
<br /> NUMBER OF DEVICES (if low voltage): 1
<br /> FIRE ALARM? 0 YES ❑NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: INSTALL A UL LISTED WIRELESS AES RADIO COMMUNICATOR
<br /> AND TIE IT INTO THE EXISTING FIRE ALARM SYSTM FOR FIRE ALARM MONITORING
<br /> OWNER NAME: WILLIAM HANNAN TENANT NAME Of Commercial): TORTAS LOCAS
<br /> OWNER MAILING ADDRESS: STREET PO BOX 92
<br /> cr, MINERAL STATE WA 98355
<br /> OWNER PHONE: 912 596 6527 OWNER EMAIL:
<br /> CONTRACTOR NAME: FIRE PROTECTION INC
<br /> CONTRACTOR ADDRESS: STREET 17410 ASH WAY, Ste 8
<br /> en-, LYNNWOOD STATE WA ZIP 98037
<br /> CONTRACTOR PHONE: 425 290 9600 CONTRACTOR EMAIL: MEGAN@FPISEATTLECOM
<br /> CONTRACTOR LIC.#(REQUIRED) FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814
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<br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425 290 9600
<br /> MEGAN VAUGHN CONTACT EMAIL: MEGAN@FPISEATTLE.COM
<br /> AGREEMENT:I hereby certify that t 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 tam 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 /> L 1 �� 20 E \ ' \ 6(-
<br /> Owner/A horized Agent S nature Date (Revised 9/23/2016)
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