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0 0 <br /> 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 1 (E) everetteps@everettwa.gov I www,everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 430 CASINO RD. EVERETT,WA 98208 <br /> BUILDING AREA(if residential new construction, remodel,or addition)2,500 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> uSE OF BUILDING: FRANZ BAKERY-HOSTESS OUTLET <br /> /-ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:-S 5,000.00 <br /> NUMBER OF DEVICES (if low voltage): 3 <br /> FIRE ALARM? ❑YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable) <br /> DESCRIPTION OF WORK: Installation Of(3) IP Cameras, RVS system with UPS and locking vertical rack, <br /> low voltage wiring. <br /> CONTACT INFORMATION <br /> OWNER NAME:United States Bakery TENANT NAME(If Commercial): Franz Bakery-Hostess Outlet <br /> OWNER MAILING ADDRESS: STREET PO BOX <br /> 1;T1 Vancouver STATE WA z, 98208 <br /> OWNER PHONE: na 1OWNER EMAIL: na <br /> CONTRACTOR NAME: Cook Security Group <br /> CONTRACTOR ADDRESS: IT1EET8214 192nd St. suite 104 <br /> CITY Kent STATE WA ZIP 98 2-'. <br /> CONTRACTOR PHONE: 253-218-2299 CONTRACTOR EMAIL: Step hanni.myers@cookSecurit Oup.CO <br /> CONTRACTOR LIG.#(REQUIRED): COOKSGI976TR ICITY OF EVERETT BUSINESS LIC.#(REQUIRE :0504558 <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2553-218-2299 <br /> Kari Havard - Project Manager CONTACT EMAIL:kari.tlavard cooksecuritygroup.cO <br /> AGREEMENT I 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 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 few regulating construction or the performance of construction. That 1 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 16.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E Rog - 0S(�2 <br /> wnerlA razed Agent nature Date (Revised 9/23/2016) <br />