10200 25TH AVE SE 2019-11-15 - Laserfiche WebLink

4"Err 'LECTRICAL PERMIT LIGATION CITY OF EVERETT PERMITS VICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Eisenhower MS - 10200 25th Ave SE, Everett, WA 98208 BUILDING AREA(if residential, new construction, remodel, or addition)900 SF BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: IBJ COMMERCIAL USE OF BUILDING: Education ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ $27,000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? El YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Addition of a single classroom portable building to existing building infrastructure. . __ , 1 ,;_ (--a.,lL1A I v V CONTACT INFORMATION OWNER NAME: Everett Public Schools TENANT NAME(If Commercial): Eisenhower Middle School OWNER MAILING ADDRESS: STREET 3900 Broadway cin, Everett STATE WA ZIP 98201 OWNER PHONE: 425-923-6251 OWNER EMAIL: JCollins@everettsd.org CONTRACTOR NAME: TBD - Public Bid CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) Electrical Engineer CONTACT NAME: CONTACT PHONE: 206-436-0465 Jon Beade, PE - Hargis Engineers CONTACT EMAIL:jon.beade@hargis.biz 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# &ff--- 3��3/� $ E 1(603 - 11, Owner/ orized Agent Signature Date (Revised 9/23/2016)