6411 BROADWAY 2019-06-19 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION I�►'`r - 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6411 BROADWAY BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE:[3FR-DETACHED jFR-ATTACHED DUPLEX ✓AULTI-FAMILY-#OF UNITS:4 [OMMERCIAL USE OF BUILDING:Multi Family ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $800.00 NUMBER OF DEVICES(if low voltage):1 FIRE ALARM? ✓(ES [10 ASSOCIATED BUILDING PERMIT#(if applicable):N/A DESCRIPTION OF WORK: REPLACE COMMUNICATOR FOR FIRE ALARM SYSTEM CONTACT INFORMATION OWNER NAME:FARR TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET8941 179TH PL SW CITY EDMONDS STATE WA ZIP 98026 OWNER PHONE:IMPACT PROPERT MGMT-4253346361 OWNER EMAIL:MIKE@IMPACTPROPERTYMGMT.COM CONTRACTOR NAME:Washington Alarm Inc CONTRACTOR ADDRESS: STREET 1420 King St, Ste E cr,Bellingham STATE WA ZIP 98229 CONTRACTOR PHONE:3607331330 CONTRACTOR EMAIL:ehamerski@washingtonalarm.com CONTRACTOR LIC.#(REQUIRED):WASHIAI 2C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O25389 PRIMARY CONTACT: DWNER ONTRACTOR ✓DTHER(Please Specify) Fire Alarm Design CONTACT NAME: CONTACT PHONE:2067141645 Eric H amerski CONTACT EMAIL:ehamerski@washingtonalarm.com AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Le PERMIT# 65• t$- E e'tO q — 30 Owner/Authorized Agent Signature Date (Revised 10/12/2015)