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�LECTRICAL PERMIT AF'r�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:2901 Rucker <br /> BUILDING AREA(if residential, new construction, remodel, or addition)2100 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> use oF Bui�oirvG:Bank (Strip Mall) <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 23,347.83 <br /> NUMBER OF DEVICES if low volta e): 35 <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: <br /> Install Intrusion Detection System with 20 Field Devices <br /> Install CCTV System with 15 Devices <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): OpUS Bank <br /> OWNER MAILING ADDRESS: sTaeEr2901 RUCkef AVe <br /> cin, Everett sTATE WA ziP 98201 <br /> owNER PHONE:253.259.8694 OWNER EMAIL: <br /> CONrRaCroR NannE:Allied Fire & Security <br /> CONTRACTOR ADDRESS: sTaEET 1015 N. Central Ave <br /> ciTy Kent STATE WA ziP 98032 <br /> CONTRACTOR PHONE:425.988.6509 CONTRACTOR EMAIL:Jbldmead�a 3111ed-SeCUI'Ity.00I71 <br /> CONTRACTOR �IC.#(REouiREo�:ALLIESV275BB CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0231 O8 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.988.6509 <br /> Jerry Bidmead coNTACT EnnAi�: jbidmead@allied-security.com <br /> AGREEMENT:T hereby certify that 1 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 consiruction. That I am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � � ��- <br /> � <br /> PERMIT# <br /> �6,z9,2�,6 E l�L �/�JC —.;I�j`1� <br /> � (J <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015J <br />