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

OrETT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 l FAX 425-257-8857 l (E) everetteps©everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Eisenhower Elementary School 10200 25th Ave SE Everett, Wa 98208 pi) BUILDING AREA(if residential, new construction, remodel, or addition)approx. 865 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: Portable Classroom ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 2423.00 NUMBER OF DEVICES (if low voltage): 10 FIRE ALARM? El YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Add Smoke Detector, Heat Det above ceiling, Horn/strobes, Pull Station & NAC panel to new portable classroom CONTACT INFORMATION OWNER NAME: Everett School District TENANT NAME(If Commercial): Emef&on-Eem_. QJ5 OWNER MAILING ADDRESS: STREET 3900 Broadway ( / Everett STATE Wa ZIP 98201 OWNER PHONE: 425-3854000 OWNER EMAIL: CONTRACTOR NAME: Convergint Technologies LLC CONTRACTOR ADDRESS: STREET 450 Shattuck Ave Suite 100 c„ Renton STATE Wa ZIP 98057 CONTRACTOR PHONE: 253-732-5962 CONTRACTOR EMAIL: glenn.smith@convergint.com CONTRACTOR LIC.#(REQUIRED): CONVETL984BQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 42662 PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-732-5962 Glenn Smith CONTACT EMAIL: glenn.smith@convergint.com convergint.com AGREEMENT:I 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 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# E Owner/Authorized Agent Signature Date (Revised 9/23/2016) /