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ELECTRICAL PERMIT APPLICATION <br /> I!A CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2514 Rainier Avenue <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: School <br /> (ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:'$ 16,665.00 <br /> NUMBER OF DEVICES (if low voltage): 20 <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT Cif-applicable): <br /> DESCRIPTION OF WORK: Modification to existing fire alarm system for conversion of Resource Center into <br /> offices and classrooms, Bldg 200, North Middle School. Joint venture between SimplexGrinnell and Steele Electric Co. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District TENANT NAME(If Commercial): North Middle School <br /> OWNER MAILING ADDRESS: STREET 4730 Colby Ave <br /> c,Ty Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-385-5200 OWNER EMAIL: n/a <br /> CONTRACTOR NAME: SimplexGrinnell <br /> CONTRACTOR ADDRESS: STREET 9520 10th Ave S. Suite 100 <br /> cTy Seattle STATE WA ZIP 98 <br /> C <br /> CONTRACTOR PHONE: 206-291-1400 CONTRACTOR EMAIL: jastebbins@simplexgrinnell.co <br /> CONTRACTOR LIC.#(REQUIRED): SIMPLL*981 SG CITY OF EVERETT BUSINESS LIC.#(REQUIR:D): 602113334 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ODA <br /> CONTACT NAME: CONTACT PHONE: 206-291-1468 <br /> Janet Stebbins/permits CONTACT EMAIL:jastebbins@simplexgrinnell.com <br /> AGREEMENT:I hereby certify that 1 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 I 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 /> PERMIT# <br /> � ,� � 13/10/2017 <br /> O vier/Autfi-prized Agent Signature Date (Revised 9/23/2016) <br /> I(Z <br />