840 N BROADWAY 2019-03-26 - Laserfiche WebLink

10G q2 q2 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 l (E)everetteps@everettwa.gov I www.everettwa.gov/permits P{ROJEC S rIINFORMA'TION PROJECT ADDRESS: 840 N Broadway Bldg B Suite 540 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: State offices ,. � =SELECTRIiCAL APP4��►'TIONp�1�FO��A�'"�QN ,` CONTRACT PRICE OF WORK: $ 3400 NUMBER OF DEVICES (if low voltage): 3 FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): n/a DESCRIPTION OF WORK: remove&relocate 2 card readers&1 strobe light for an existing access control/security system. CONTACT INFORMATION OWNER NAME:DSHS TENANT NAME(If Commercial): DDA OWNER MAILING ADDRESS: STREET 500 1st Ave S Ste 401 CITY Seattle STATE WA ZIP 98104 OWNER PHONE: 425-339-4836 OWNER EMAIL:CarteJF@dshs.Wa.gov CONTRACTOR NAME:Alarm Center Inc CONTRACTOR ADDRESS: STREET PO Box 3407 cn'Y Lacey STATE WA ZIP 98509 CONTRACTOR PHONE: 360-491-6320 CONTRACTOR EMAIL: shari@alarmcenterinc.com CONTRACTOR LIC.#(REQUIRED): ALARMCI055CW CITY OF EVERETT BUSINESS LIC.#(REQUIRED):31781 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-491-6320 Shari Hubbell CONTACT EMAIL:shari@alarmcenterinc.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 I 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 PERMIT# ,jl e_02 E t S 0 4 -- oSo Owner/Authorized Agent Signature Dat (Revised 9/23/2016)