930 N BROADWAY COMMUNITY HEALTH CENTER 2019-01-24

ELECTRICAL PERMIT APPLICATION 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 g yr � ,ar J W-. c r. z-x; � ��'a�; � -'•: � � �� r 4 PROJECT ADDRESS: 930 N Broadway Everett, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition)25300 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: la COMMERCIAL USE OF BUILDING: medical ':dy h CONTRACT PRICE OF WORK:$ 47995.50 NUMBER OF DEVICES(if low voltage): 140 FIRE ALARM? ❑YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: low voltage security and cameras OWNER NAME:CHC Everett- Central TENANT NAME(If Commercial):CHC OWNER MAILING ADDRESS: STREET 4201 Rucker AVE CITY Everett STATE WA Z,P 98203 OWNER PHONE:4253194365 OWNER EMAIL:bediger@chcsno.org CONTRACTOR NAME: Sonitrol Pacific CONTRACTOR ADDRESS: STREET2221 California ST cnY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:4252583655 !CONTRACTOR EMAIL: KHart@soundsecurity.biZ CONTRACTOR LIC.#(REQUIRED): SONITP*948D7 !CITY OF EVERETT BUSINESS LIC #(REQUIRED) 13143 PRIMARY CONTACT: 0 OWNER PI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4257545132 Keith Hart CONTACT EMAIL:KHart@soundsecurity.biz 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 74 oj, .) l01 in— E ti �1 Owner/Authorized !eat Zature Date • (Revised 9/23/2016)