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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 I FAX 425-257-8857 I (E)everetteps@everettwa.gov i www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2707 Colby Ave suite 715 , Everett , WA 98201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)1000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Business <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 500.00 <br /> NUMBER OF DEVICES(if low voltage): 1 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install a low voltage fire alarm relay to release the tenant's magnetically locked <br /> door.All door hardware to be provided , powered , installed by others,we are only installing Vire alarm relay. <br /> CONTACT INFORMATION <br /> OWNER NAME:Skotal TENANT NAME(If Commercial): HDR <br /> OWNER MAILING ADDRESS: STREET 2707 Colby Ave <br /> c,nr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425 252 5400 OWNER EMAIL:johnbullinger@skotdal.com <br /> CONTRACTOR NAME: Fire Protection Inc <br /> CONTRACTOR ADDRESS: STREET 1730 Gibson Road <br /> c,TM Everett STATE WA ZIP 98204 <br /> CONTRACTOR PHONE:425 290 9600 CONTRACTOR EMAIL: david@fpiseattle.com <br /> CONTRACTOR LIC.#(REQUIRED): FIREPI*021 ml CITY OF EVERETT BUSINESS LIC.#(REQUIRED):038814 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425 290 9600 <br /> David Mow CONTACT EMAIL:David@FPlseattle.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 /> City of Everett Official Use Only <br /> PERMIT# <br /> 2/27/18 E \f602221 <br /> ner/Authorized Agent Signature Date (Revised 9/23/2016) t <br />