3809 BROADWAY SOCIAL SECURITY ADMINISTRATION 2019-01-18

ELECTRICAL PERMIT APPLICATION "111P.4V,- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3809 Broadway Ave, Everett, WA. 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: m COMMERCIAL. USE OF BUILDING: Social Security Administration, Everett, WA, office. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 30,356.90 NUMBER OF DEVICES(if low voltage): 62 FIRE ALARM? ❑YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Replace portions of burglar alarm system with like parts. Install door strikes and card readers on some interior doors and two exterior doors. Replace TV cameras and install additional 8 cameras on exterior of building. ts/ 4 S14)51)419- otini -ed iJ v vicAtior 40-- 0 1--m.5--ign CONTACT INFORMATION OWNER NAME:Coast Real Estate Services(Barb Lindsey) TENANT NAME(If Commercial): Social Security Administration OWNER MAILING ADDRESS: STREET 2829 Rucker Ave errs Everett STATE WA ZIP 98201 OWNER PHONE: 425.405.1881 OWNER EMAIL: blindsey@coastmgt.com CONTRACTOR NAME: Government Contracting Services CONTRACTOR ADDRESS: STREET 2552 Jefferson Ave Ony Tacoma STATE Washington ZAP 98402 CONTRACTOR PHONE: (253)627-3801 CONTRACTOR EMAIL: allan.ericson©gov-contracting.com CONTRACTOR LIC.#(REQUIRED): EC GOV EAC �b ! T3 CITY OF EVERETT BUSINESS UC.#(REQUIRED): ref4 PRIMARY CONTACT: 0 OWNER CA CONTRACTOR 0 OTHER(Please Specify) 1l CONTACT NAME: CONTACT PHONE: (253)627-3801 Allan Ericson CONTACT EMAIL:allan.ericson@gov-contracting.com AGREEMENT!hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 1/40 s A)' ` t 1 E n O 61 OwnerlAuthorized Agent Signature D e (Revised 9/23/2016)