500 SE EVERETT MALL WAY B BASE FILE 2019-08-23

RECTRICAL PERMIT APPICATION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 500 B SE Everett Mall Way BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: ® CZ ELECTRICAL APPLICATION INFORMATION CONTRACT (PRICE OF WORK: $ 1682 NUMBER OF DEVICES (if low voltage): 1 FIRE ALARMI? 10 YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: replace fire alarm panel CONTACT INFORMATION OWNER NAME. Robinson Properties & Inc. LLC TENANT NAME(If Commercial): Robinson Properties OWNER MAILING ADDRESS: STREET 500 SE Everett Mall Way CITY Everett STATE WA ziP 98208 OWNER PHONE: 425-299-7823 OWNER EMAIL: bill@everettmall.Com CONTRACTOR NAME: White Security Systems Inc. CONTRACTOR ADDRESS: STREET 12617 108th Ave NE ,,T,, Arlington STATE WA zP 98223 CONTRACTOR PHONE: 425-402-0366 CONTRACTOR EMAIL: WSSI@WhlteSecurity.COm CONTRACTOR LIC.#(REQUIRED): WHITESSO44JP ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 037276 PRIMARY CONTACT: ❑ OWNER Q CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-412-3753 Ray White CONTACT EMAIL:WSSI@Whltesecurlty.COm AGREEMENT.I 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 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 I am authorized by the owner of this property to perform the work for which application is made and I comply with the Slate Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 1-7 E Owner/Authorize Agent Signature Date (Revised 9/23/2016)