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\��- �c� c ���� � <br /> � ��ECTRICAL PERMIT At�NLICATION <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 INPORMATION <br /> PROJECT ADDRESS: -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 wo�K: New Fire Alarm System - 1 st, 2nd, & 3rd Floor. <br /> CONTACT INFORMATION <br /> owNeR NAMe: Pinnacle and Lakeside Seattle LLC TENANT NAME(If Commercial):TI1G LaIC@SICI@ BICIQ D <br /> OWNER MAILING ADDRESS: srReer 2801 Alaskan Way Ste 200 <br /> �,n Seattle STATE WA Z,P 98121 <br /> OWNER PHONE:206.215.9824 OWNER EMAIL: <br /> CONTRACTOR NAME:Guardian Security Systems <br /> CONTRACTO�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�IC.#�REc�uiREo>:GUARDSS233K5 CITY OF EVERETT BUSINESS LIG.#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ✓ ONTRACTOR THER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206.349.5889 <br /> Ka ri n a Ve I iz CONTACT EMAIL:kveliz@guardiansecurity.com <br /> AGREEMENT T hereby certify that/have read and examirred this application and know the same to be true and correct. All provisions of faws and ordinanCes 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 violate or cancel the provisions of any other state or <br /> local law�egulatrng construction or the performance of construction. Tha(I am authorized by the owner of thrs property to perform the work for which application is made and I <br /> comply wrth the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ��3�2.�� <br /> ' PERMIT# <br /> � ,,� � , � ��- � � E �� - �o�� <br /> � � � <br /> Owner/Authorized Agent Signat Date (Revised 10/92/2015) <br />