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

0,16-77- ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov( www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Eisenhower Middle School, 10200 25th Ave SE, Everett, WA, 98208 BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Portable Classroom ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 6,168.25 NUMBER OF DEVICES (if low voltage): 21 FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Installation of(21) Cat6 low voltage cables to (1) portable. CONTACT INFORMATION t if;',1,1 Iflo\ Mi GVn. OWNER NAME: Everett School District No. 2 TENANT NAME(If Commercial)'ViewRidge-E1ementar f-SehGal __�; OWNER MAILING ADDRESS: STREET 3900 Broadway e-/t,lite ,'V c,T,. Everett STATE WA ZIP 98201 OWNER PHONE: 425-385-4000 OWNER EMAIL: CONTRACTOR NAME: Structured Communications CONTRACTOR ADDRESS: STREET PO Box 1368 CITY Snohomish STATE WA ZIP 98291 CONTRACTOR PHONE: 425.321.5343 CONTRACTOR EMAIL: dustin.duke@goStructured.com CONTRACTOR LIC.#(REQUIRED): STRUCC*8920L CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050586 PRIMARY CONTACT: ❑OWNER GZl CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.583.4956 Dustin Duke CONTACT EMAIL:dustin.duke@gostructured.com AGREEMENT:t hereby certify that l 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 1 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 111 PERMIT# !ilk �� I ' 1,o }3 E ccb- C06 0 er/Aut ized Agekt Signatufe Date (Revised 9/23/2016)