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OrErr ELECTRICAL PERMIT AP .ICATION <br /> 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 /> ,^3 -�! -i.3- 'ate F .ry xi .' - T x xc _�" �� 'z.. '3 "`-''- s. <br /> �.3, *x „� r',.;.: r xr � '�".�., a .. � <br /> S. ._ _ u. �,a"",�,a �^' r=x+s'�_. 's ,.. .,..*,6, ,_ ,��-�,,.-s .w�,vm..e nou,ar -�-�..;u�.�,.�.'°��a ' <br /> PROJECT ADDRESS: 9600 Sharon Drive Everett, WA. 98204 r-- P 7j <br /> BUILDING AREA(if residential,new construction,remodel,or addition)Addition 2000SF SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL <br /> USE OF BUILDING: Portable Class Room <br /> r ��; r� ELEC`1`RICAL APPLICATION INiFO MMATI ON <br /> CONTRACT PRICE OF WORK: $ 7500 <br /> NUMBER OF DEVICES (if low voltage): 0 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install 26 data cables for new portable <br /> CONTACT INFORMATION <br /> OWNER NAME: Mukiteo School Dist. Explorer Middle School TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 9401 Sharon Dr. <br /> CITY Everett STATE WA Zip 98204 <br /> OWNER PHONE: 425-356-1274 OWNER EMAIL: TruaxD@mukilteo.wednet.edu <br /> CONTRACTOR NAME: Skyline Communications Inc. <br /> CONTRACTOR ADDRESS: STREET 12002 Beverly Park Rd. <br /> CITY Everett STATE WA zip 98204 <br /> CONTRACTOR PHONE: 425-355-1593 CONTRACTOR EMAIL: ki.childress@skylinecommunications.net <br /> CONTRACTOR LIC.#(REQUIRED): SKYLICI933Q7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 41057 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) . <br /> CONTACT NAME: CONTACT PHONE: 425-309-2901 <br /> Ki Childress CONTACT EMAIL: Ki.Childress@skylinecommunications.net <br /> AGREEMENT::1 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 <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 lam 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 /> ,j/ PERMIT# <br /> i7 EflO'1. b� � <br /> Ow er/Authorized Agent Signature Date (Revised 9/23/2016) <br />