Laserfiche WebLink
1 �� - ` �1�., �- . ���, <br /> �� � <br /> �._ECTRICAL PERMIT AF�`ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS• 3-75th St. SE, Everett, WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ✓ ULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $13,500. <br /> NUMBER OF DEVICES if low volta e :1 Fire Alarm Control Panel + 52 devices <br /> FIRE ALARM? � ES O <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> �EscRiPTioN oF woRK: New Fire Alarm System - 1 st, 2nd, & 3rd Floor. <br /> CONTACT INFORMATION <br /> owNeR NAnne: Pinnacle and Lakeside Seattle LLC TENANT NAME(if Commercial):TIl@ Lak2Sid@ Bldg C <br /> OWNER MAILING ADDRESS: sTREer2801 Alaskan Way Ste 200 <br /> CITY Seattle STATE VV� ZIP 98�21 <br /> OWNER PHONE:206.215.9824 OWNER EMAIL: <br /> CONTRACTOR NAME:Guardian Security Systems <br /> CONTRACTOR ADDRESS: sTReeT 1743 First Ave S <br /> �,n Seattle STATE WA Z�P 98134 <br /> CONTRACTOR PHONE:206.349.5889 CONTRACTOR EMAIL:kveliz@guardiansecurity.com <br /> CONTRACTOR LIC.#�REQuiRE��:GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ✓ ONTRACTOR THER(Piease Specify) <br /> CONTACT NAME: CONTACT PHONE:206.349.5889 <br /> Ka ri na Vel iz CONTACT EMAIL:kveliz@guardiansecurity.com <br /> AGREEMENT:T hereby certify that I have read and examined this app(ication and know the same to be true and correct. All provisions of laws and ordrnances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to vio/ate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authaized by the owner of this property to peAorm the work for which applicafion is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Officia/Use Only <br /> FEE <br /> �' ��G..,� -_/ <br /> __ PERMIT# <br /> � � � ( E I (���- ��� <br /> � <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015J <br />