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i✓f <br /> • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,.WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettWa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE;;INFORMATION <br /> PROJECT ADDRESS: q I(o pik,i rt c . A v.e <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#,OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL TION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 0.09 <br /> NUMBER OF DEVICES(if low voltage): -2- . <br /> FIRE ALARM? D YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): . <br /> DESCRIPTION OF WORK: Install low voltage security system-SEA-1139 0/ IS-r o t zwrvlz/rurnoP <br /> • ;CO...'`TACT I NFORMATION <br /> OWNER NAME: Providence Medical Center TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET P.O. BOX 1067 <br /> cr,, Everett STATE WA zip 98206 <br /> OWNER PHONE: 425-261-3913 OWNER EMAIL: <br /> CONTRACTOR NAME: Aronson Security Group <br /> CONTRACTOR ADDRESS: STREET 600 Oakesdale Ave. SW, Suite 100 <br /> CITY Renton . STATE WA ZIP 98057 <br /> CONTRACTOR PHONE: 206-284-3553 CONTRACTOR EMAIL: paul.aronson@aronsonsecurity.Com <br /> CONTRACTOR LIC.#(REQUIRED): ARONSSG013C6 'CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 031987 <br /> PRIMARY CONTACT: 0 OWNER 12i CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-245-1441 <br /> Paul Aronson CONTACT EMAIL:paul.aronson@aranSonsecurity.com <br /> AGREEMENT:t hereby certify that!have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type <br /> of work wilt 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 /> local law regulating construction or the performance of construction. That tam authorized by the owner of this properly 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 /> E 19)0 - 11alc <br /> OwnerlAuthorized Agent Signature Date <br /> (Revised 9!29/2018) <br /> 4 <br />