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477. ECTRICAL PERMIT APOtICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> 0-, E F® fir . <br /> PROJECT ADDRESS: 1115 Rainer Dr. WA (parce1:29051700215000) <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 136 Multiple Family 51 - 100 Units <br /> CONTRACT PRICE OF WORK: $ 500.00 <br /> NUMBER OF DEVICES (if low voltage): 1 <br /> FIRE ALARM? 0 YES VI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install AES radio to monitor existing FACP <br /> OWNER NAME: HOUSING AUTHORITY OF EVERETT TENANT NAME(If Commercial): HOUSING AUTHORITY OF EVERETT <br /> OWNER MAILING ADDRESS: STREET 3107 COLBY AVE, EVERETT, WA 98201 <br /> cmy Everett STATE WA Zip 98201 <br /> OWNER PHONE: 425-257-1000 OWNER EMAIL: <br /> CONTRACTOR NAME: Guardian Security Systems <br /> CONTRACTOR ADDRESS: STREET 1501 Kentucky St <br /> Bellingham STATE WA ZIP 98229 <br /> CONTRACTOR PHONE: 360-647-0110 CONTRACTOR EMAIL: sodell@guardiansecurity.com <br /> CONTRACTOR LIC.#(REQUIRED): GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0033443 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-647-0110 ext.327 <br /> Sheramie Odell CONTACT EMAIL:sodell@guardiansecurity.com <br /> 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 <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 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> I Digitally signed by <br /> Sheramie Odell PERMIT# <br /> / I Date:2016.12.1614:24:51 <br /> 1-08'00 E ( (ora , k5 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />