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Oren- OLECTRICAL PERMIT AILICATION <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 /> •,:;.:**USCLiWOWICIRSil& RO�EC <br /> PROJECT ADDRESS: 1123 Rainer Dr. WA (parcel:29051700215100 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 136 Multiple Family 51 - 100 Units <br /> = ELE It CA"l*. GATION INFORM TION r WftVItf <br /> CONTRACT PRICE OF WORK:$ 500.00 <br /> NUMBER OF DEVICES(if low voltage): 1 <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install AES radio to monitor existing FACP <br /> .. , QN AC 4:0104MA7ION ` ,. � ..fig <br /> _.< n..M , x .. L,x-;r,�.b�„d."a�"xasrxsx x�i* fi zxxx,�.wcxx.�a �r.„ra,�.z �*�..��,,... s? �.a"�N". , .,.. <br /> OWNER NAME: HOUSING AUTHORITY OF EVERETT TENANT NAME(If Commercial): HOUSING AUTHORITY OF EVERETT <br /> OWNER MAILING ADDRESS: STREET 3107 COLBY AVE <br /> o,TM Everett STATE WA Z,P 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Guardian Security Systems <br /> _CONTRACTOR ADDRESS: STREET 1501 Kentucky St <br /> c,TM 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 VI 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 lam 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 /> Digitally signed by <br /> Sheramie Odell PERMIT# <br /> /_ ✓ Date:2016.12.1614:24:51 r, / <br /> -08'00' E 1(0C .-1/ <br /> 3cp <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) `�� <br />