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08/09/2018 05:04 25357231 ROBBLEE'S TOTA C. PAGE 01/01 <br /> Allr".. -- 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 1(E)everettepseeverettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 3201 Broadway Suite C <br /> BUILDING AREA(if residential,new construction,remodel,or addition)2500 SF <br /> BUILDING TYPE_ 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX l:l MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: commerciai <br /> : ' ' . ATM . . <br /> • <br /> • <br /> • <br /> • <br /> • <br /> CONTRACT PRICE OF WORK:$ 5500 <br /> NUMBER OF DEVICES(if low voltage): 4 <br /> FIRE ALARM? 171 YES Ia NO _ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): - <br /> DESCRIPTION OF WORK: IP based CCTV camera system <br /> CON AcerVAdill(MATION <br /> OWNER NAME:Allicance One TENANT NAME(If Commercial):Alliance One <br /> OWNER MAILING ADDRESS: sTessr 3201 Broadway Suite C <br /> cuy Everett were WA zlr 98201 <br /> OWNER PHONE: 2536202327 OWNER EMAIL:danie.christensen c@allianceoneino.com <br /> CONTRACTOR NAME: Robblees Total Security <br /> CONTRACTOR ADDRESS: sTREET751 Tacoma Ave South <br /> Goy Tacoma STATE WA zu. 98402 <br /> CONTRACTOR PHONE:2536275448 CONTRACTOR EMAIL: imtp@robblees.COm <br /> CONTRACTOR LIC.#(REQUIRED): ROBBLTS994JD CITY OF EVERETT BUSINESS LIC,#(REQUIRED):054194 <br /> PRIMARY CONTACT: 0 OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2536275448 <br /> John Patterson CONTACT EMAIL:jpp@robblees.com <br /> AGREEMENT:I hereby certify that I have read end examined this application and know the same fo be true and correct. All provisions of laws and ordinances governing this type <br /> of work Will bo completed whether specified herein or not The granting of a permit does not presume to give authority to violet*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 ROW and 296.200 WAC, <br /> city of Everett Official Use Only <br /> PERMIT# <br /> -� - �g EI $69r0$5 <br /> 0,,,, :r/_who Ized gent Signature Date (Revised 9/2312010 <br />