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ELECTRICAL PERMIT APPLICATION <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 INFORMATION <br /> PROJECT ADDRESS: 2300 KASCH PARK RD. "` ';,�,4,j' `� ' <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: TI"atlSpOftatI0C1 S@NIC@S <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 4595.00 <br /> NUMBER OF DEVICES (if low volta e): 3 <br /> FIRE ALARM? m YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPT�oN oF wORK: Add (3) duct detectors for AHU monitoring and control at Community Transit Bus Barn. <br /> Joint venture between SimplexGrinnell &ANM Electric. <br /> CONTACT INFORMATION <br /> OWNER NAME: COmmunity Transit TENANT NAME(If Commercial): Community Transit <br /> OWNER MAILING ADDRESS: srReeT 2300 Kasch Park Rd. <br /> �,n Everett STATE WA ziP 98204 <br /> owNER PHONE: 425-864-7215 OWNER EMAIL: <br /> CONTRACTOR NAME: Slfl"1pleXGflflfl2ll <br /> CONTRACTOR ADDRESS: sTReeT 952� ��th AV@ S. SUIt2 'I OO <br /> cin. Seattle STATE WA ZiP 98108 <br /> CONTRACTOR PHONE: 206-291-1400 CONTRACTOR EMAIL: JaStebbIC1S C�l SII1lpI@Xgflflflell.COCTI <br /> CONTRACTOR LIC.#(REQUIRED): SIMPLL'�981SG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OSOZ'I"I <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-291-1468 <br /> Janet Stebbins/Permit coNTAcr EMa,i�:jastebbins@simplexgrinnell.com <br /> AGREEMENT.�!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 fhis 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 cance/the provisions of any other state or <br /> local!aw regulating construction or the performance of construction. That I am authorized by fhe owner of this property to pertorm the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> � ' � E � � � b-- � <br /> l i 2� �o�� <br /> ner uthorized gent Signatur Date (Revised 9/23/2016) <br /> l l � <br /> 6 <br />