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3809 BROADWAY SOCIAL SECURITY ADMINISTRATION 2019-01-18
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3809 BROADWAY SOCIAL SECURITY ADMINISTRATION 2019-01-18
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1/18/2019 7:47:41 AM
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1/18/2019 7:47:40 AM
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Address Document
Street Name
BROADWAY
Street Number
3809
Tenant Name
SOCIAL SECURITY ADMINISTRATION
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10IL ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> :. <br /> PROJECT ADDRESS: 3809 Broadway Ave, Everett, WA. <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Social Security Administration, Everett, WA, office. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 30,856.90 <br /> NUMBER OF DEVICES (if low voltage): 62 <br /> FIRE ALARM? 0 YES m NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Replace portions of burglar alarm system with like parts. <br /> Install door strikes and card readers on some interior doors and two exterior doors. <br /> Replace TV cameras and install additional 8 cameras on exterior of building. <br /> Install (1) circuit breaker in unused location to power CCTV and Access Control. <br /> CONTACT INFORMATION <br /> OWNER NAME: Coast Real Estate Services (Barb Lindsey) TENANT NAME(If commercial): Social Security Administration <br /> OWNER MAILING ADDRESS: STREET 2829 Rucker Ave <br /> ,,n Everett STATE WA Z,P 98201 <br /> OWNER PHONE: 425.405.1881 OWNER EMAIL: blindSey@COaStmgt.COm <br /> CONTRACTOR NAME: Avalon Contracting, Inc <br /> CONTRACTOR ADDRESS: STREET 2552 Jefferson Ave <br /> c,n Tacoma STATE WA ZIP 98402 <br /> CONTRACTOR PHONE: 253-383-4559+ C� . ((�� CONTRACTOR EMAIL: craig.jones@avaloncontracting.com <br /> CONTRACTOR LIC.#(REQUIRED): A LO „ .6 3 QM CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) .. <br /> ... <br /> CONTACT NAME: CONTACT PHONE: 253-627-3801 ,, d <br /> Allan Ericson CONTACT EMAIL: allan.ericson@gov-contracting.com <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances 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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> (41, z 'JCA 0 <br /> City of Everett Official Use Only <br /> (7271,1,41. , PERMIT# <br /> • S /— (? Ek. 5 - L`\9 <br /> Owner/Authorize gent Si.1ure Date (Revised 9/23/2016) <br />
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