Laserfiche WebLink
• <br /> OLT ftCTRICAL 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: 3531 Rucker Ave <br /> BUILDING AREA(if residential, new construction, remodel,or addition)3000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Insurance Office <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 500.00 <br /> NUMBER OF DEVICES (if low voltage): 2 <br /> FIRE ALARM? 0 YES 10 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install Hold Up Buttons to existing security system <br /> CONTACT INFORMATION <br /> OWNER NAME: Mulvaney Group TENANT NAME(If Commercial): Vern Fonk Insurance <br /> OWNER MAILING ADDRESS: STREET 3531 Rucker Street <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-258-5900 OWNER EMAIL: <br /> CONTRACTOR NAME: Global Security & Communication, Inc. <br /> CONTRACTOR ADDRESS: STREET 11509 Steele Street S <br /> c,r, Tacoma STATE WA Z,P 98444 <br /> CONTRACTOR PHONE: 253-539-6860 CONTRACTOR EMAIL: Sandys@global4security.com <br /> CONTRACTOR LIC.#(REQUIRED): GLOBASCO3OLR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 054973 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-539-6860 <br /> Sandy Stokes CONTACT EMAIL: Sandys@global4security.com <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 /> c _ E g (9u (0 <br /> Owner7Authertzed Agent Sign. ure Date (Revised 9/23/2016) <br />