1001 N BROADWAY NW INNOVATION RESOURCE CENTER 2019-05-28

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 1001 BROADWAY, EVERETT WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: OFFICE CONTRACT PRICE OF WORK: $ 1,050.00 NUMBER OF DEVICES if low volta•e : 4 FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT# if a••licable : DESCRIPTION OF WORK: INSTALLING 1 SALTO KS CONTROLLER, 1 SALTO KS READER&2 DETEX EXIT ALARMS OWNER NAME:NW INNOVATION RESOURCE CENTER TENANT NAME If Commercial : OWNER MAILING ADDRESS: STREET 1001 BROADWAY Cin. EVERETT STATE WA ZAP 98201 OWNER PHONE: 360-739-2968 OWNER EMAIL:DKAMIONKA@NWIRC.COM CONTRACTOR NAME: SECURITY SOLUTIONS NW CONTRACTOR ADDRESS: STREET 1619 N STATE ST cm.BELLINGHAM STATE WA ZIP 98225 CONTRACTOR PHONE: 360-7344940 CONTRACTOR EMAIL: DUSTINK@SSNW.CO CONTRACTOR LIC.#(REQUIRED): SECURSN954JG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):045070 PRIMARY CONTACT: In OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-815-0160 DUSTIN KOENIG CONTACT EMAIL:DUSTINK • SSNW.CO AGREEMENT.•l 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 r—oocuSIgned by: PERMIT# Nicol 15bt v'Swta 10/9/2018 E 16-- Crl L l_3a51DAP77cannc7 ll.. Owner/Authorized Agent Signature Date (Revised 9/23/2016)