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Oct. 17. 2016 9 : 33AM No. 8703 P. 1 <br /> (OL 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 ADDRESS: 3201 Smith Ave. Everett, WA 98201r ,e0-7)•• <br /> BUILDING AREA(if residential, new construction,remodel,or addition) 51 DOD SF <br /> BUILDING TYPE: ❑SFR-DETACHED Li SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY #OF UNITS: IZJ COMMERCIAL <br /> USE OF BUILDING: Commercial - ESD Everett Work Source Access <br /> -`'.r, ELFT QAL 2E11�P( M �MFQ�tARA • <br /> CONTRACT PRICE OF WORK: $ 20,000 <br /> NUMBER OF DEVICES(if low voltage): 21 <br /> FIRE ALARM? ❑YES I1 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicably: <br /> DESCRIPTION OF WORK: Job#831138- installation of Access Control System -(4)ADA Double Doors, (16) Single Doors, <br /> (1) Double Door <br /> ONTO N <br /> ar r�Fo <br /> OWNER NAME: ESD-Everett TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3201 Smith Ave. <br /> cm Everett STATS WA Zip 98201 <br /> OWNER PHONE: OWNER EMAIL; <br /> —�. T ., ..-.. <br /> CONTRACTOR NAME: EC Company <br /> CONTRACTOR ADDRESS: srRsElr 5412 S. 196th St <br /> crTM en STATS WA Z,a 98032 <br /> CONTRACTOR PHONE: 20636-6000 - _ <br /> CONTRACT <br /> OR EMAIL: SUSanW@@-G-CO_C0171 <br /> CONTRACTOR LIC.#(REQUIRED): ECCOM**148BA CITY OF EVERETT BUSINESS LIC.#(REOUIRED): 051774 <br /> AIN <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-436-6003 <br /> Susan Walsh CONTACT EMAIL;susanw@e-c co.com <br /> AGREEMENT-I hereby certifylhat I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this typo <br /> of work will be completed whetherspecifiied herein or not. The granting oT a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating const1UCtion 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 1a.27 RCW and 296.200 WAC. <br /> City of£varett Official Use Only <br /> AAL6V/1 <br /> PERMIT# <br /> ) tUtØ i l (n H Jl(0 E ((o 10- 0 (3 <br /> Own erlAuthorised Agent Signator Date (Revised 9/232016) <br />