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ELECTRICAL PERMIT APPLICATION <br /> g.77, CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.govlpermits • <br /> ..... .. ...... <br /> 00040t51l**C-0RMJe4T1:0;11L: <br /> PROJECT ADDRESS: ell( PAC inC. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE 0 SFR-DETACHED 0 SFR-ATTACHED D DUPLEX 0 MULTI-FAMILY-*OF UNITS:. 0 COMMERCIAL _. <br /> USE OF BUILDING: <br /> UC:•rloN.INlFORMaT <br /> CONTRACT PRICE OF WORK:$ WC) <br /> NUMBER OF DEVICES(if low voltage): "2.- <br /> FIRE ALARM? ❑YES ®NO • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install low voltage security system-SEA-17422 - PARK/0G GARAGE <br /> OWNER NAME:Providence Medical Center . TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET P.O. Box 1067 - <br /> • <br /> crrr Everett : TATE WA zip 98206 ', <br /> OWNER PHONE: 425-261-8913 OWNER EMAIL: <br /> CONTRACTOR NAME: Aronson Security Group , <br /> CONTRACTOR ADDRESS: sTREET600 Oakesdale Ave. SW, Suite 100 <br /> crrr Renton STATE WA zip 98057 <br /> CONTRACTOR PHONE: 206-284-3553 CONTRACTOR EMAIL: paul.aronson@aronsOnSecurily.Com <br /> CONTRACTOR UC.#(REQUIRED): ARONSSG013C6 CITY OF EVERETT BUSINESS LIC,*(REQUIRED):031987 <br /> PRIMARY CONTACT: ❑OWNER IZI CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-245-1441 . <br /> Paul Aronson- CONTACT EMAIL:peal.aronson(garonsonsecurity.com <br /> AGREEMENT l hereby certify that I have read and examined this application end know the same to be true and correct. All provisions of laws arid orcinances 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 /> total law regulating construction or the performance of conshudion. That lam authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 298.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# ' <br /> 1:214-0/"Cr-A,.....--.---------' 5- —i g E Q --0 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br /> Poi.- soin•w kRoosoH e ApoN5opsocu fatrY. cor4 <br />