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�ECTRICAL PERMIT A�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everettwa.gov/permits <br /> ������\���� #��,�El��G� ��\��, <br /> ������\������� � �.��_ :� ��\ „���\ AT�1�1 .����`� <br /> PROJECT ADDRESS: 62'rJ �O�St PIaC@ SE <br /> BUILDING AREA(if residential, new construction, remodel,or'addition)2500 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX � MULTI-FAMILY-#OF UNITS:4 ❑ COMMERCIAL <br /> use oF Bui�oiNc: WALTER A CROW <br /> ,.-E��c�r��+�;�r.��►P��.�i"��T�,�i��''���'Rn�',�i�ar�aw. <br /> � �/a�r.�, .�A>,.� /��lii/ri,fi,�, <br /> CONTRACT PRICE OF WORK: $ 960 <br /> NUMBER OF DEVICES if low volta e : � <br /> FIRE ALARM? m YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Adding Radio Subscriber unit for monitoring.A new 120v receptacle will be installed for this new radio. <br /> Please permit both fire alarm and electrical with this in mind. <br /> �� ��, �r , ��v,H, , , � ,� , <br /> i i� �� i�', � w�.7 1",„�, , ii �/�i��/�ii�/ ��, > ,/��i �����%„ ii��r r <br /> ��x�, �����'�t +s"���� �R��T��� iiii /, r,,.. �/�i , !/�/l�� ; <br /> �� i � � ✓, �,ii���,,,��o�ti��, �� �, i iii�,, u„ � <br /> OWNER NAME: MIIIbPOOk COIldO aSSOClatl011 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTReeT 625 101 st Plaee SE <br /> ciTy EVERETT sTare WA ziP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> coNTRacTOR NAnne: COMMERCIAL ALARM & DETECTION <br /> coNrRacTORa��Ress: STREET 17199 BENNETT ROAD <br /> �in, MOUNT VERNON STATE WA ziP 98273 <br /> CONTRACTOR PHONE: 360-848-1533 coNTRacTOR Ennai�: JOSH@CFIREPRO.COM <br /> coNTw4cTOR uc.#�REQuiRE�>: COMMEAI948L0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0430"I9 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-848-1533 X111 <br /> Josh Harrold - Commercial alarm & Detection coNTacT enna��: Josh@cfirepro.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 fhe 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 W.4C. <br /> City of Everett Official Use Only <br /> . <br /> PERMIT# <br /> � � � c E 1 � �D -oo� <br /> Own r/Authorized Agent Signature Date (Revised 9/23/2016) <br /> � <br />