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477 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 l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3700 Federal Avenue <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: ®COMMERCIAL <br /> USE OF BUILDING: Education <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 29,419 <br /> NUMBER OF DEVICES(if low voltage): 134 <br /> FIRE ALARM? 2 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: One-for-one fire alarm system replacement. There will be some pull stations <br /> deleted as well as a handful of smoke detectors that are no longer required by code based on previous <br /> correspondence with Jim Venturo. <br /> CONTACT INFORMATION <br /> OWNER NAME:Everett School District TENANT NAME(If Commercial):Jackson Elementary <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Performance Systems Integration <br /> CONTRACTOR ADDRESS: STREET 19310 N. Creek Pkwy#109 <br /> CITY Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE:4255-368-4201 CONTRACTOR EMAIL: carissa@psintegrated.com <br /> CONTRACTOR LIC.#(REQUIRED): PERFOS*980M4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):46193 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-368-4201 <br /> Carissa Thomson CONTACT EMAIL:carissa@psintegrated.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 /> 31701iR E ' D - ( ( <br /> �Ow ;rized Agent Signature Date (Revised 9/23/2016) —� <br />