530 SW EVERETT MALL WAY EVERGREEN FORUM 2019-01-29

ECTRICAL PERMIT AP-_ICATION 21247-1 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 530 verett Mall Way BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL USE OF BUILDING: Retail CONTRACT PRICE OF WORK 1$ 1,000 NUMBER OF DEVICES (if low oltage): 1 FIRE ALARM? 0 YES 0 • ASSOCIATED BUILDING PER IT#(if a,plicable): DESCRIPTION OF WORK: I - AES radio to monitor existing FACP i CONGA FORMA IA OWNER NAME: Evergreen Forum Auto Retail Center TENANT NAME(If Commercial): Evergreen Forum Retail Center OWNER MAILING ADDRESS: STREET 2829 Rucker Ave Ste. 100 cin. Everett STATE WA Zip 98204 OWNER PHONE: 425-422-3484 OWNER EMAIL: CONTRACTOR NAME: Guardian Security Systems CONTRACTOR ADDRESS: STREET 1501 Kentucky St ciTY Bellingham STATE WA •%A'• CONTRACTOR PHONE: 360-647-0110 CONTRACTOR EMAIL: sodell@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED): GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUI•ED): 0033443 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-647-0110 ext.327 Sheramie Odell CONTACT EMAIL:sodell@guardiansecurity.com 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 l 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 •Digitally signed by Sheramie Odell PERMIT# • / I Date:2017.05.08 10:08:49 E a)S- O O -07'00' (� Owner/Authorized Agent Signature Date (Revised 9/23/2016)