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ECTRICAL PERMIT AfICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov ( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:515 SE Everett Mall Way, Everett, WA 98208 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF 2,908, <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ULTI-FAMILY-#OF UNITS: V( OMMERCIAL <br /> USE OF BUILDING:581 Eating Places (Restaurants) <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WOR $3,000. <br /> NUMBER OF DEVICES (if low kltage7T4 <br /> FIRE ALARM? YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Fire Alarm System Alteration: Add 24 devices to existing fire alarm control <br /> panel. <br /> CONTACT INFORMATION <br /> OWNER NAME:Baja Fresh Mexican Grill TENANT NAME(If Commercial):Chipotle <br /> OWNER MAILING ADDRESS: STREET515 SE Everett Mall Way <br /> CITYEverett STATE �v��/ <br /> A z,P 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Guardian Security <br /> CONTRACTOR ADDRESS: STREET 1743 First Ave S <br /> CITY Seattle STATE WA zip 98134 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):GUARDSSKS CITY OF EVERETT BUSINESS LIC.#(REQUI D): <br /> PRIMARY CONTACT: ❑ OWNER V( ONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206.349.5889 <br /> Karina Ve l i z CONTACT EMAIL:kveliz@guardiansecurity.com <br /> AGREEMENT:Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws 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 regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and/ <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE �I <br /> � �� V'� <br /> PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 10/1212015) 77- <br />