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�CTRICAL PERMIT API�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: ���i 1 /�,SSOC(c�tBC� BIVCJ <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: A����n �e�IVE;Cy ���tt�l' �V�i'�tt �9��4 <br /> ` ELECTRICAL APPLICATION 1NFDRMATION <br /> CONTRACT PRICE OF WORK: $ ��,���•a� <br /> NUMBER OF DEVICES (if low voltage): 82 Fire Alarm Devices, 2 NAC PS, (No FACP) <br /> FIRE ALARM? �YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ������ the exisiing fire aiarm system to accommodate the revised #loor plan fior the <br /> tenant i�provement. N�w ceilinglpendant mount horn!strobes to be mounted in the <br /> rr7ain warehause, with DSD on HVAC. No wark on the 2nc! floor ofi th� affiices. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): A�Ti?ZOCI <br /> OWNER MAILING ADDRESS: sTReeT <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: R�i�fl�W{C �If2 $c S8CU3"I$y <br /> CONTRACTOR ADDRESS: sTREeT 2i 312 30th Drive SE, SUIt2 #�Q�, gOtf18E�, �A �Pa021 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: �2���8�-���� X ���9 CONTRACTOR EMAIL: �a_p8l"fl'1j�5@C�CI�1�W�{US.COtll <br /> CONTRACTOR LIC.#(REQUIRED): REDHAH�$��NH CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �4���� <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: �(��j-Q��-��]�. <br /> St`i�ll'1 �/at1D�CH2yC��91 CONTACT EMAIL: (�r1�1�.V�t1C��ChB�lt��l'I�C�C�fI�WkUS.CC3111 <br /> AGREEMENT:T 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 <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 construction. 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 Sfate Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> �_ <br /> ��'?� � <br /> C, <br /> PERMIT# <br /> r��� � �i <br /> ��°�.---- , -�,��� ? E ti � � � -� �'�' � _ <br /> y _ <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) � / \`� <br /> �% <br /> %- <br />