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• <br /> 417r 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: 1 920 Merrill Creek Pkwy <br /> BUILDING AREA(if residential, new construction,remodel, or addition) 12,128_ SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Office / Manufacturing <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3,000.00 <br /> NUMBER OF DEVICES (if low voltage): 3 <br /> FIRE ALARM? l YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Relocate NAG panel and replace 2 devices as shown on the drawings. <br /> CONTACT INFORMATION <br /> OWNER NAME:BPP Pacific Industrial TENANT NAME(If Commercial): Synsor Bldg. <br /> OWNER MAILING ADDRESS: STREET PO Box 847 <br /> CITY Carlsbad STATE CA Zr 92018 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Meridian Security & Electric Inc <br /> CONTRACTOR ADDRESS: STREET6817 S 220th St <br /> crry Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE: 253-638-1792 CONTRACTOR EMAIL: scott@meridiansecurity.biz <br /> CONTRACTOR LIC.#(REQUIRED): MERIDSEO22D5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 55097 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-638-1792 <br /> Scott Harris CONTACT EMAIL:scott©meridiansecurity.biz <br /> 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 <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 /> E2WLI _ D$6 <br /> Ownerr uthorized Agen ignature Date (Revised 9/23/2016) <br />