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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVER.ETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6920 Seaway Blvd. <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Manufacturing <br /> ELECTRICAL APPLICATION INFORMATION <br /> 'CONTRACT PRICE OF WORK: $ 5198 <br /> NUMBER OF DEVICES (if low voltage): 24 <br /> FIRE ALARM? 0 YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Revise existing fire alarm system to reflect Phase II T.I. revisions to POD "B" and <br /> associated areas using existing NAC power supply and existing SLC circuit. <br /> CONTACT INFORMATION <br /> OWNER NAME: Fluke TENANT NAME(If Commercial): Fluke <br /> OWNER MAILING ADDRESS: STREET 6920 Seaway Blvd <br /> cm,' Everett STATE Wa ZIP 98026 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Siemens Insustries <br /> CONTRACTOR ADDRESS: STREET 15900 Eastgate Way, Suite 200 <br /> CITY Bellevue STATE Wa. ZIP 98008 <br /> CONTRACTOR PHONE: (425)507-4300 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): SIEMEII919PP (CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019927 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Bruce Gardner CONTACT PHONE: (425) 507-4353 <br /> CONTACT EMAIL: brUCe.gardner@SlemenS.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 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 /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />