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b <br /> ELECTRICAL PERMIT APPLICATION <br /> �►' .. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: Emerson Elementary School, 8702 7th Ave SE, Everett, WA, 98208 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IZ]COMMERCIAL <br /> USE OF BUILDING: Portable Classroom <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 6,168.25 <br /> NUMBER OF DEVICES (if low voltage): 21 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installation of(21) Cat6 low voltage cables to (1) portable. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District No. 2 TENANT NAME(If Commercial): View Ridge Elementary School <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> arr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425-385-4000 OWNER EMAIL: <br /> CONTRACTOR NAME: Structured Communications <br /> CONTRACTOR ADDRESS: STREET PO Box 1368 <br /> c,T,. Snohomish STATE WA zip 98291 <br /> CONTRACTOR PHONE: 425.321.5343 CONTRACTOR EMAIL: dustin.duke@gostructured.com <br /> CONTRACTOR LIC.#(REQUIRED): STRUCC*8920L CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050586 <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.583.4956 <br /> Dustin Duke CONTACT EMAIL:dustin.duke@gostructured.com <br /> 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 <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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 1 j,. ► 1 f t E ��D cY -O <br /> Own rlAut tzed Agent ignatur ate / (Revised 9/23/2016) <br />