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age : 1 03/22/2016 03 : 15 PM TO : 14252578857 FROM : 5037651619 <br /> • • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITE'4F EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 J (E)everette:ps ii everettwd_cgt v.1 vww w.eve:rettwa..gov/pern,�ai <br /> PROJECT SITE INIZOMATION <br /> PROJECT ADDRESS: 1 1127 Evergreen Way <br /> BUILDING AREA(4 residenlW, norw Cansltuction,remodel,or addltoon} ...2 500 SF <br /> BUILDING TY'P'E-. O SFR.DETA;CHE.D ©'SFR-ATTACHED O DUPLEX O MULTI-FAMILY v OF t,INIT;s:. 12COMMERCtAt <br /> USE OF BUIL DING; BECU (ta nk) <br /> ELECTRICAL APPLICATION INFORMATION <br /> ION <br /> CONTRACT PRIDE OF WORW S':, ilio 00 <br /> NUMBER OF DEVICES (if tow volts ), 5 <br /> FIRE ALARM? 0 YES O NO <br /> ASSOCI:AIEI7 BUILDING PERMIT# i#applicable): <br /> DESCRIPTION OF WORK Instal?, (5) dorne cameras over teller desk,poli wire. to IT closet, install 24', AC pourer supply <br /> 7oci:k caniceras up to Lanex supplied by BECU all to ir?,dude town voltage wiring <br /> >CONTAC""Y INFORMATION <br /> OWNER NAME: BECU TENANT NAME(It G©rnmerUW)_, BLC:U <br /> OWNER MAUNG ADDRESS: aspFr;T Po Box 3853 M/S 21 t <br /> C"TY sea tle 98124 <br /> OWNER PHONE: (OWNER EMAIL: <br /> CONTRACTOR NAME: Cokok Security Group <br /> CONTRACTOR ADDRESS: $TREFT 8 '14 S 19 rid 5t. { Ile '104 <br /> cera. Kelt STATE 11'tir'A grip 98042._. <br /> CONTIRACTOR PHONE.253-218.2299 CONTRACTOR EMAOL:Stet h,enni.in its@iqo4kjseCurjtyqroup.cofn <br /> C{3htTI1AC.T4R LIC.#s1l l QUMED):COOKSGII 976TR <br /> CITY OF EVERETT 910SINESS LIC.!t(kE0WREap: 050458 <br /> :PRIMARY CONTACT! O OWNER I3 CONTRACTOR O OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE, 253-218-2299 ext. 1612 <br /> Kati Havard CONTACT EMAIL;kari.havart ?Cot)kse-cuiity rotip.cor?ri <br /> 177 E.Nr.T lweby cendy that r hove wo arse{axodnxr6"ow riAvbG-ail+ .and k.;Io*thb s'.art'.*TO t@ MU*aAd aWrdd. Adi pfVVft*M Of Av sus and txelb7anM,5 goje+rrav tAtS <br /> ,),Poo wprk WAY ba cornpw*d wYeetr?ar ipati Yiarf harem)G r r f& The,7raMffv&6 P'vw3a 4605 716r PFVFuer*tD grue—thorAtY tD v,¢aiare or carx_>ei the rrt wskvu:oe aefy other state mr <br /> ky,bi law reollowv craristAxivrr ev the prrfcrrrtiarasxr Or C0.115trrreWn That€aria wt;horried bye the garner a this prDpeny tope x&wm rine;Lo Xw*by>wmocn 8pp4mat on iS maw anrt t <br /> r.w,NVY Wit"?ffty Stant.''004f800n LI N`fb 27 PCW and 29-6.200 WAC:. <br /> C.rtyy Ger Eworett officyifii use onlyt <br /> FEE <br /> FERltiflT# <br /> f r off_ <br /> 3/2 /38 <br /> OZ t Autharizatt Agent 5 n®tw^e Dale s <br /> Stephanm Myers • ject Atlrnni:strative Assistant <br />