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OLT ItECTRICAL PERMIT APICATION <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 /> � PrP• <br /> ? a��� -y �- �,s,���.t ��a� a,- " � ,' �r v3.,�, .*- h m `s�"`x"7�a. 4.� a h§R ss+ ' �.. <br /> 10 4 t 11 a l , ":'O Srt TE IN q tOA�T1ON :z u <br /> - ,..x"a`.�5'...._.,.z.rr�, S; .v��as�t7aY.. ,,,..*.:.'...�»EFr?-s�e,=.,�,<fiA°'. n. t.'�`c":.., ?z. a.;r.�:� �.a,,...�a,.rX. f.. ....��.r,;�,1;�ar •, -. a.. «a,��'n�.»:.....K�?�e.Y�F.. <br /> PROJECT ADDRESS: 1121 SE EVERETT MALL WAY <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: IXCOMMERCIAL <br /> USE OF BUILDING: <br /> K 'Y,tx 3 ' ,, }, ELEC, ,T 1441APPLIG%►TION II FORMA 60.. <br /> CONTRACT PRICE OF WORK:$ 14220 <br /> NUMBER OF DEVICES(if low voltage): 11 <br /> FIRE ALARM? IIYES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Demo (2),add(11) devices for fire alarm system including new NAC Panel. <br /> Joint venture between Johnson Controls Fire Protection and Seahurst <br /> Electric. <br /> � � � a z � � �' € ' ss q <br /> x O SACT INPORMTIQN .�� , <br /> �i x t.ti ..,...�.,,. so-r„K_r z=r „ r.s .�.;_' `�� _ . .�.,.'.. .,?°.�';- ..+�.�','Ci�3 <br /> OWNER NAME: City of Everett TENANT NAME(If Commercial):City of Everett Police <br /> OWNER MAILING ADDRESS: STREET 2930 Wetmore Ave. <br /> CITY Everett STATE WA „P 98201-4067 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Johnson Controls Fire Protection <br /> CONTRACTOR ADDRESS: STREET 9520 10th Ave. S.Suite 100 <br /> CITYEverett, STATEWA ZIP <br /> CONTRACTOR PHONE: 206-291-1400 CONTRACTOR EMAIL:janet.stebbins@jci.com <br /> CONTRACTOR LIC.#(REQUIRED): JOHNSCP831PR CITY OF EVERETT BUSINESS LIC.*REQUIRED):050211 <br /> PRIMARY CONTACT: ❑OWNER M CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-777-4828 <br /> janet Stebbins/Permit&Fees Contact CONTACT EMAIL: janet.stebbins@jci.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 properly 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 /> ' AF4Or 7/18/18 E\ OO - \L9-- <br /> er •uthor zed Agent Signature Date (Revised 9/23/2016) <br /> i�Z <br />