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LLECTRICAL PERMIT AP (CATION <br /> 'I�►� <br /> ��� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P-'/-42-3-2-37-VVl'V"-I I T -rco-co7-vv.J1-11L-/cVG!cucl.Ja`wc VGI-GlCwa:yCJ V-1-VVVI,vr.Gvc11 GLt 7a;UVV7 pc!I III l.a <br /> =PROJECT SITE INFORMATION :j <br /> PROJECT ADDRESS: 4201 Rucker Avenue <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I21 COMMERCIAL <br /> USE OF BUILDING: Community Health Center <br /> ELECTRICAL APPLICATION INFORMATION; <br /> CONTRACT PRICE OF WORK: $ 27,000 <br /> NUMBER OF DEVICES(if low voltage): 115 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installation of a low voltage paging system including speakers and rack control location: <br /> CONTACT-INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial):Community Health Center of Snohomish(CHCSC) <br /> OWNER MAILING ADDRESS: STREET <br /> CRY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Jaymarc Investments, Inc. <br /> CONTRACTOR ADDRESS: STREET 2732 1st AVE S. <br /> ow Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206-682-6111 CONTRACTOR EMAIL: Rochelle@Jaymarc-ay.com <br /> Jaymarc-ay.com <br /> CONTRACTOR LIC.#(REQUIRED): JAYMAA*883RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):052888 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-478-7145 <br /> Tom Felt CONTACT EMAIL:Tom@Jaymarc-ay.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 WAG. <br /> City of Everett Official Use Only <br /> ,..---- > ' PERMIT# <br /> f t1- E 0 1 ) . I (13 <br /> Owner/Authorized ±.ent Signature Date (Revised 9/23/2016) <br />