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0 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> EV 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2222 Everett Avenue Everett, WA 98201 <br /> BUILDING AREA(if residential, new construction, remodel, or addition)100 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: School District Maintenance <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 10,012.57 <br /> NUMBER OF DEVICES (if low voltage): 3 <br /> FIRE ALARM? [a YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Replace existing fire alarm control panel with new, fully compatible panel. <br /> Replace existing remote annunciator with new. Install new manual pull station by the fire panel. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District TENANT NAME(If Commercial): Maintenance Building <br /> OWNER MAILING ADDRESS: 1TR11T PO Box 2098 <br /> C,TY Everett ',-ATF WA 98203 <br /> OWNER PHONE. 425-385-2200 OWNER EMAIL: <br /> CONTRACTOR NAME: Performance Systems Integration <br /> CONTRACTOR ADDRESS: s;fe!_rr 19310 North Creek Parkway #109 <br /> C,Ty Bothell STATE WA ZIF 98011 <br /> CONTRACTOR PHONE: 425-368-4201 CONTRACTOR EMAIL: carissa@pslntegrated.com <br /> CONTRACTOR LIC.#(REQUIRED): PERFOS*980M4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):46193 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-510-0597 <br /> Carissa thomson CONTACT EMAIL:Larissa@pslntegrated.com <br /> AGREEMENT:/hereby 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 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 /> _.---- <br /> 4/14/17 E _ <br /> Owner/Auth9—A ed Agent Si nature Date (Revised 9/2 372 0 1 6) Q <br />