6201 ASSOCIATED BLVD COLUMBIA DISTRIBUTING 2018-04-23

ROECTRICAL PERMIT APIWICATI®N Ey CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6201 Associated Blvd, Everett WA 98203 7F 76 BUILDING AREA(if residential, new construction, remodel, or addition) 50,000 SIA I BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Commercial Business ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 35,000.00 NUMBER OF DEVICES (if low voltage): 97 FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): s DESCRIPTION OF WORK: Fire alarm TI as shown on drawings. CONTACT INFORMATION OWNER NAME: Underwood Gartland Everett LLC TENANT NAME (If Commercial): Columbia NW1 w'h OWNER MAILING ADDRESS: STREET 4210 132nd Ave NE - - c,TY Bellevue STATE WA „P 98005-115 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Meridian Security & Electric, Inc. CONTRACTOR ADDRESS: STREET PO Box 7171 CITY Kent ST,.fE WA L,o 98042 CONTRACTOR PHONE: 253-638-1792 CONTRACTOR EMAIL: Scott@merldlansecurlty.biz CONTRACTOR LIC.#(REQUIRED): MERDISE022D5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055097 PRIMARY CONTACT: ❑ OWNER Q CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 253-638-1792 Scott Harris CONTACT EMAIL: Scott@merldlansecurity.biz 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 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC City of Everett Official Use Only 1 PERMIT# E 0(3� Owner/Authorized Agent Signature Date (Revised 9/23/2016)