10821 19TH AVE SE 2018-05-11 - Laserfiche WebLink

47T ELECTRICAL PERMIT AP .ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION • PROJECT ADDRESS: 10821 19TH AVENUE SE BUILDING AREA(if residential, new construction, remodel, or addition)7000 ` SF BUILDING TYPE: El SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: WALTER A CROW ELE TRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2500 NUMBER OF DEVICES (if low voltage): 1/ FIRE ALARM? [7_1 YES ❑//NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Adding Radio Subscriber unit for monitoring. A new 120v receptacle will be installed for this new radio. Please permit both fire alarm and electrical with this in mind. r CONTACT INFORMATION11) /J OWNER NAME: WALTER A CROW TESTAMENTARY TRUST TENANT NAME(If Comme OWNER MAILING ADDRESS: STREET 10821 19TH AVE SE CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: COMMERCIAL ALARM & DETECTION CONTRACTOR ADDRESS: STREET 17199 BENNETT ROAD CITY MOUNT VERNON STATE WA ZIP 98273 CONTRACTOR PHONE: 360-848-1533 CONTRACTOR EMAIL: JOSH@CFIREPRO.COM LIC. RE UIRED : COMMEA1948LO CITY OF EVERETT BUSINESS LIC.#REQUIRED : 643019 CONTRACTOR #( Q ) ( ) PRIMARY CONTACT: ❑ OWNER I1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-848-1533 X111 Josh Harrold - Commercial alarm & Detection CONTACT EMAIL: Josh@cfirepro.com 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 10 (7 City of Everett Official Use Only 875 PERMIT# Owne//Authorized Agent Signature to (Revised 9/23/2016) IZ