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�� ELECTRICAL PERMIT APPLICATION <br /> I Iiii . 1. - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-2574810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.govipermits <br /> PROJECT SI E INFORMATION 4 `' tt* _ <br /> PROJECT ADDRESS:4727 Everegreen Way <br /> BUILDING AREA(if residential,new construction,remodel,or addition)3275 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Orthodontic <br /> 4 <br /> 7 7,' '', ii Z: ^�. ELECTRICAL APPLICATIONINFORMATION <br /> ,�, � �.��„ .�`�����,. .,,,... -.....��. . ,. .� _. �:,: ,,.,waw, a;:mZald,.... ... 44f�..R.......!. <br /> CONTRACT PRICE OF WORK:$ 12 000.00 <br /> NUMBER OF DEVICES(if lo okage): 35) <br /> FIRE ALARM? OYES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Modifications to existing system <br /> t f q CONTACT INFORMATION gay Ary ,, l''',;',,,i ''‘A 4z :e. <br /> OWNER NAME:Michael &Tameron George TENANT NAME(If Commercial):Orthodontic Clinic <br /> OWNER MAIUNG ADDRESS: sumer 700 Ave. D Suite 101 <br /> cm Snohomish STATE WA zp 98290 <br /> OWNER PHONE: 425-327-1025 OWNER EMAIL:tameronmcmaster(aaol.com <br /> CONTRACTOR NAME: Olympic Security and Communications <br /> CONTRACTOR ADDRESS: stmmeeT PO Box 3559 <br /> riTy Arlington STATE WA zp 98223 <br /> CONTRACTOR PHONE:360-8552-1088 (CONTRACTOR EMAIL: match©olympicsecurity.COm <br /> CONTRACTOR UC.#{REQUIRED): OLYPPS012P CITY OF EVERETT BUSINESS UC.#(REQUIRED):039040 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 'CONTACT PHONE: 360-652-1088 <br /> Tom Brown CONTACT EMAIL:tom©olympicsecUrity.coin <br /> AGREEMENT:i hereby certify that I have read and examined this application and know the same to be true end 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 afany 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 1 <br /> comply with the State Contractors taw 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> I 1 I , �i/ a/7 / PERMIT# <br /> i i r • i t.R, E 1 1C12_.- DIA2 <br /> • erlAuthorize. • S gnature (Revised 9/23/2016) <br />