10110 19TH AVE SE 2019-06-11 - Laserfiche WebLink

4167-r _ECTRICAL PERMIT Ali LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 10110 19TH AVE SE - COMMUNITY CENTER BUILDING AREA(if residential, new construction, remodel, or addition) N/A SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ® MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: COMMUNITY CENTER ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:\$ 13827 NUMBER OF DEVICES (if low vottaae) 2 FIRE ALARM? 121 YES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: REPLACE FIRE ALARM PANEL. INSTALL AES RADIO NEXT TO NEW FACP CONTACT INFORMATION OWNER NAME: FAMILY TREE TENANT NAME(If Commercial): N/A OWNER MAILING ADDRESS: STREET SAME CITY EVERETT STATE ZIP OWNER PHONE: 425-309-1131 OWNER EMAIL: JMCALISTER@MERCYHOUSING.ORG CONTRACTOR NAME: AAA FIRE PROTECTION, INC. CONTRACTOR ADDRESS: STREET 3013 3RD AVE. N CITY SEATTLE STATE WA ZIP 98109 'CONTRACTOR PHONE: 206-284-1721 CONTRACTOR EMAIL: GEORGE@AAAFIRE.COM CONTRACTOR LIC.#(REQUIRED): AAAFIFPS41 Na), CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 027647 PRIMARY CONTACT: ❑ OWNER l7 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 206-284-1 721 BOYD SODERQUIST CONTACT EMAIL: BOYD@AAAFIRE.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 he 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 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT# / "; E n(3 — 19,9 •wner/ifhorized Agent Signature D e (Revised 9/23/2016) z