11802 EVERGREEN WAY BASE FILE 2018-09-19

titECTRICAL PERMIT AP1PLICATION 4°111111111°P'A CIPif OF EVERETT PERMIT SERVICES ,s4witi. 3200 CEDAR STREE I,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov 1 www.everettwagoviperrnits PROJECT SITE INFORMATION PROJECT ADDRESS: 11802 evergreen way everett wa 98204 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ___ 0 COMMERCIAL USE OF BUILDING: Commercial Plaza ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1000 NUMBER OF DEVICES(if low voltage): I FIRE ALARM? 13 YES la NO .. ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPIION OF WORK: Install AES radio to monitor existing FACP CONTACT INFORMATION OWNER NAME:B33 properties 11_1_C TENANT NAME(If Commercial): B33 properties 1LLC OWNER MAILING ADDRESS: STREET 4001 S. Decatur cfry Las Vegas STATE Nevada zip 89103 OWNER PHONE: 702-379-0428 OWNER EMAIL: reza@bridge33capitalcom CONTRACTOR NAME: Guardian Security Systems CONTRACTOR ADDRESS: sTREET 1501 Kentucky St cif.„ Bellingham S7A1E WA zap 98229 CONTRACTOR PHONE: 360-647-0110 !CONTRACTOR EMAIL: sodellaguardiansecurity.com CONTRACTOR LIC.#(REQUIRED}: GUARDSS233K5 'CITY OF EVERETT BUSINESS UC.#(REOUIRED):0033443 PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-305-6218 Sheramie Odell CONTACT EMAIL:sodell@guardiansecurity.corn AGREEMEiVr I hereby certify that I have read and examined this appication and know the same to be true and correct AN provisions of laws and 00411180109S governing this type of work wfil be completed whether specified herein or not. The granting of a pelmet does riot presume to give authority to violate or cancel the prowsions of any ether state or local law regulating corner:shot:or the performance of construction. That I am authorised by the omer of this pmperly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296200 WAC City of Everett Official Use Only —---..3 ( \ PERMIT# CX/clate/jr-- E 1 soq-0SS OwnerlAuthonzed Agent Sig _ (Revised 9/23/2016) 7