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�CTRICAL PERMIT AIS .ICATION <br /> '1j--A 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.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1523 132nd St SE B1 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1200 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: in COMMERCIAL <br /> USE OF BUILDING: massage <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 3000 <br /> NUMBER OF DEVICES(if low voltage): 3 <br /> FIRE ALARM? it YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> Brimstone fire is running FPLP 14/2 and installing horn/strobes. <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Brimstone Fire <br /> CONTRACTOR ADDRESS: STREET 23422 57th Ave SE <br /> CITY Woodinville STATE Wa ZIP 98072 <br /> CONTRACTOR PHONE: 425-956-3434 CONTRACTOR EMAIL: lan@BrimstoneFireSafety.com <br /> CONTRACTOR LIC.#(REQUIRED): BRIMSFS918K0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Li-70 <br /> PRIMARY CONTACT: 0 OWNER %-1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Project Manager CONTACT PHONE: 425-956-3434 <br /> Ian Anderson CONTACT EMAIL: Ian@BrimstoneFireSafety.com <br /> AGREEMENT::I 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 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 /> 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 RCW and 296.200 WAC. <br /> City#of Everett Official Use Only <br /> • oe <br /> PERMITE 0 01'1 76 <br /> o •uthorized Ag ,nature Dat / (Revised 9/23/2016) ` <br />