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SECT <br /> RICAL 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 1 (E) everetteps@everettwa.gov( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1001 North Broadway Suite A3 Everett, WA. <br /> BUILDING AREA(if residential, new construction,remodel,or addition)5500 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Office <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 6000 <br /> NUMBER OF DEVICES(if low voltage): 6-8 <br /> FIRE ALARM? ®YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: relocate 6-8 existing fire alarm devices due to remodel <br /> CONTACT INFORMATION <br /> OWNER NAME: Hoffman Corp. TENANT NAME(If Commercial): NW Innovations <br /> OWNER MAILING ADDRESS: STREET 805 SW Broadway#2100 <br /> CITY Portland STATE OR. ZIP 97205 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Pacific Fire& Security <br /> CONTRACTOR ADDRESS: STREET 828 Poplar Place S #100 <br /> c,T„ Seattle STATE WA zip 98144 <br /> CONTRACTOR PHONE: 206-957-0907 CONTRACTOR EMAIL: robertv@pacificfiresecurity.com <br /> CONTRACTOR LIC.#(REQUIRED): PACIFFS914MF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 42154 <br /> PRIMARY CONTACT: 0 OWNER (,ZI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-391-4948 <br /> Robert Vaughn CONTACT EMAIL:robertv@pacificfiresecurity.com <br /> AGREEMENT.'I hereby certify that!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 f 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 ROW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E ( go l — t� <br /> er! •r zed A•:n gnature Oat; (Revised 9/23/2016) <br />