2722 COLBY AVE UMPQUA BANK 2019-08-07

TIRE ALARM PERMIT APPLIUATION 41ErrCITY 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:2722 Colby Ave r BUILDING AREA: 3500 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ADDITION Ir I TENANT IMPROVMENT ❑REMODEL BUILDING USE: Bank PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$14,000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Install new notification devices to existing Silent Knight panel PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance. Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑ 3 Sets of Plans showing location of fire alarm devices ✓❑ 3 Sets of Specifications for the Devices to be installed CONTACT INFORMATION OWNER NAME: Umpqua Bank TENANT BUSINESS NAME(If Commercial): Umpqua Bank OWNER MAILING ADDRESS: STREET707 West Main Ave cm, Spokane STATE WA zip 99201 OWNER PHONE:503-327-2761 OWNER EMAIL:ellabehnOUd@UmpgUabank.COm CONTRACTOR NAME:West Coast Electrical Services CONTRACTOR ADDRESS: STREET 12527 Mukilteo Speedway 103 CITY Lynnwood STATE WA ziR 98087 CONTRACTOR PHONE: 425-322-3189 CONTRACTOR EMAIL: kyle@WCeleCtriCS.COm CONTRACTOR LIC.#(REQUIRED):WESTCCE897PQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0 I'JLj y PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-322-3189 Kyle Adams CONTACT EMAIL:kyle@wcelectrics.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 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 ' PERMIT#: l ( FA "Eko3-C 3 caner/Authorized Agent Signature Date (Revised 1/11/2019) Ci;)