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ELECTRICAL PERMIT AP�CATION <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 /> PROJECt SITE IN�ORMATION <br /> PROJECT ADDRESS: ��JOO INDUSTRY ST, BLDG H, EVERETT WA 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> usE oF Bui��iNc: OFFICE & STORAGE <br /> '�' LE�'TRICAL APPLICATION INFORMATION <br /> { .` <br /> CONTRACT PRICE OF WORK: $ 3070 <br /> NUMBER OF DEVICES (if low v ta e:''� <br /> FIRE ALARM? m YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: THE SCOPE OF THIS PROJECT IS TO INSTALL AN AES RADIO FOR THE <br /> FIRE ALARM CONTROL PANEL. <br /> CONTACT INFORMATION <br /> ow►vER NAnnE: TRUNK-SEAWAY BUSINESS PARK TENANT NAME(If Commercial): TRUNK COMMERICAL <br /> OWNER MAILING ADDRESS: srREET 8721 RANDALL DR NW <br /> cin. GIG HARBOR sTATE WA ZiP 98332 <br /> OWNER PHONE: OWNER EMAIL: <br /> coNTwacTOR N,annE: SMITH FIRE SYSTEMS <br /> CONTRACTOR ADDRESS: sTREET 1106 54TH AVE E <br /> c,,., TACOMA STATE WA Z,P 98424 <br /> CONTRACTOR PHONE: (253� 248-2004 coNrRacTOR eMAi�: SJERKE@SMITHFIRE.COM = ��. <br /> coNTR,acTOR uc.#�REQuiRE�>: SMITHFS861 RS CITY OF EVERETT BUSINESS LIC.#(REQUI D): 23577 ,' <br /> PRIMARY CONTACT: ❑OWNER QI CONTRACTOR ❑OTHER(Please Specify) `��- - <br /> CONTACT NAME: CONTACT PHONE: (253) 248-2004 <br /> SCOTT JERKE coNT,acT EM,4i�: SJERKE@SMITHFIRE.COM <br /> AGREEMENT:I hereby cerfify that/have read and examined this application and know the same to be true and correct. All provisions of/aws and o�dinances 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 1 <br /> comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Officia/Use On/y <br /> l 7 <br /> PERMIT# <br /> , � _,�.�.�, ' •�`�� - E ��o� - �`-��' <br /> � <br /> Owner/Authorize Agent Signature Date (Revised 9/23/2016) <br />