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� <br /> � <br /> ELECTRICA,L PERMIT APPLICATIO�V <br /> C1TY OF EVER�T7 PERMIT S�RVICES <br /> ' �2b0 CEDAR STRE�`f, �V�RETT, WA 98201 <br /> {F')425-�67v88'10 � FAX 42.5-257a8857 � (E) ev�r�tt�ps�everettw�.gov� ww+rv.everettwa.govlpermits <br /> PRt)JECT SITE INFQRMA�"1�(�i <br /> PROJEC7 AODR�5S. - C A 982 1 <br /> BUILDING A�t�A(if resid�ntial,netiv construction, rnrnod�l,ar additior�}___ 2$00 SF <br /> BUILDING TY'?E: ❑SFR-DETACN�D C7 SFR-ATT�CHED Cl dUPL�X ❑MULTi-FAMiLY-#OF UNI7S: Ct7MlNERCiAL <br /> USF OF BUILDING; COMMERCIAL <br /> LECTRI AL APPLICATION INFORMATlON <br /> CONTt2ACT PRlCE OF WORK: 2$00.00 <br /> Ni1MBER OF DEVICES(if low v Ita e): 13 <br /> FIRE ALARM? �1 YES ❑NO <br /> ASSOCIAT�D BUtLDING PERM i plicable}: <br /> DESCR(PTION�F INORK: FIRE ALARM TENANT IMPROVEMENT PER PLAN.ADD 1) REMOTE <br /> POWER SUPPLY AND SPEAKER/STROBES THROUGHOUT THE TENANT IMPROVEMENT AREA <br /> PER PLAN . <br /> � .. <br /> CONTACT IN�ORMAT�CEN <br /> OWNER NAME: SKOTDAL TENANT NAME(if Commercial): HDR <br /> OWNER MAILING ADDRESS: sTREEr 2�07 Colby Avenue Suite 1200 <br /> �,n EVERETT S7ATE WA z1p 98257 <br /> OWNER PHbNE: 42S ZSZ$4OO OWNER EMAIL: gary.oleary@skotdal.com <br /> CONTRACTOR NAME: 'r Protection In <br /> CONTRACTOR ADDRESS: srae� 1730 Gibson Road <br /> cin' STATE WA ziP 98204 <br /> CONTRAC7QR PHONE:42 CONTRACTOR EMAIL: DaVic� FPISeattle.com <br /> CONTRACTOR LlC.#(REQl11RED): FIREP * 21ML CiTY OF EVERETT BUSINESS LIC.#(REQ E��:038814 <br /> _ _. _.. . _ _.., . --- . ,_ . ._. .. _ , . . <br /> PREMARY C4NTACT: Q OWNER �C4NTRACT4R ❑C}THER(Please Specify} <br /> CON'FAGT NAME: D1V7C�MOW ���T��=T PHQNE: 425 290 9600 � <br /> co�t�aer etwA��: david@ iseattle.com <br /> AGREEMENT.�T herehy cerfiry that f have read and examined fJtis appiicatian and krto�v the same to be frue anct correCf. A!!provisions of laws and ordlnances goveming this <br /> fype of work wrU be camplefed whether specified herein or nof. 7he granfing of a permit does not presume to grve a�thor'rty fo vio/afe o�cancel the provisions of any ofhersfate or <br /> local!aw regula6ng constructian or fhe performance of construction. That 1 am authofrced by fbe owner of ihis propedy to perform the work for which appticatiort is made and l <br /> comply wifh the State Confractors Law 18.27 RCW and 296.200 WAC. <br /> City nf Eve�eft Official Use Only <br /> FEE <br /> � �,C�O "� � <br /> ..�_. <br /> PERMIT# <br /> 12/4/17 � 1 �c \�'�VJ� <br /> Owned A gnature Date (Revised 1Qfi2�2C15) <br />