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OLT 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 I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2000 Tower Street Everett, WA 98201 <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: 0 COMMERCIAL <br /> USE OF BUILDING: Education <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3,621.16 <br /> NUMBER OF DEVICES (if low voltage): 8 <br /> FIRE ALARM? m YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Modification to existing fire alarm system for emergency replacement of elevator <br /> in Rainier Hall. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Community College TENANT NAME(If Commercial): Rainier Hall <br /> OWNER MAILING ADDRESS: STREET 2000 Tower Street <br /> CRY Everett STATE WA ZAP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Performance Systems Integration <br /> CONTRACTOR ADDRESS: STREET 19310 N. Creek Pkwy#109 <br /> cn-y Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE: 425-368-4201 CONTRACTOR EMAIL: carissa@psintegrated.com <br /> CONTRACTOR LIC.#(REQUIRED): PERFOS*980M4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 46193 <br /> PRIMARY CONTACT: 0 OWNER I l 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 /> .ip,' 1, ( • E <br /> Owner/Autho ized Age Signature Date (Revised 9/23/2016) <br />