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0477- •ECTRICAL PERMIT AP_ ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: Lowell Elementary School, 5010 View Dr, Everett, WA, 98203 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: Portable Classroom <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 6,432.21 <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 /> CIT, 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 /> CITY 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: 0 OWNER El 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 I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> ' PERMIT# <br /> 1.4 UPttel t E 9)062- i"1 o <br /> Ow eu orized Agent Signatu e Date (Revised 9/23/2016) <br />