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� <br /> �ECTRICAL PERMIT APpLICATION <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 /> PRt�JECT SITE [N��RMATION <br /> PROJECT ADDRESS: 911 N. BROADWAY <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 97,357 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: � COMMERCIAL <br /> USE OF BUILDING: HIGHER EDUCATION <br /> ELECTRICAL APPLICATl�N INFORMATIC�N <br /> CONTRACT PRICE OF WORK: $ 82,700.00 <br /> NUMBER OF DEVICES if low volta e : 98 <br /> FIRE ALARM? ❑YES � NO <br /> ASSOCIATED BUILDING PERMIT#(if a licable : <br /> DESCRIPTION OF WORK: LOW VOLTAGE INSTALLATION OF HVAC DDC CONTROL SYSTEM <br /> CONTACT INFORMATION <br /> OWNER NAME: WA. STATE UNIVERSITY TENANT NAME(If Commercial): SAME <br /> OWNER MAILING ADDRESS: sTREEr 14204 SALMON CREEK <br /> cirv VANCOUVER sroTe WA ziP 98686-9600 <br /> OWNER PHONE: 360 546-9237 OWNER EMAIL: <br /> CONTRACTOR NAME: MCKINSTRY COMPANY LLC <br /> CONTRACTOR ADDRESS: sTREeT 5005 3RD AVE SOUTH <br /> arv SEATTLE srAre WA ziP 98134 <br /> CONTRACTOR PHONE: 206 762-3311 CONTRACTOR EMAIL: jeffk@mckinstry.com <br /> CONTRACTOR LIC.#(REQUIRED): MCKINCL942DN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 049226 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 832-8088 <br /> Jeff Kiggins CONTACT EMAIL: <br /> jeffk@mckinstry.com <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same fo be true and correct. All provisions of/aws 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 vio/ate or cancel the provisions of any other state or <br /> local law regulating construction or the pertormance of construction. That/am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � ��rU� <br /> PERMIT# <br /> Jeff Kiggins 5/9/2016 <br /> E �� �� - -► ', <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />