1800 41ST ST EVERETT CLINIC FRONTIER BUILDING 2018-09-13

Nov. 13 .2015 12 :57 PM Str1fiured Communications 42532 5 PAGE. 1 (001rErr ELECTRICAL PERMIT A KATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov J www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1800 41ST ST 5TH FLOOR, Everett, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL USE OF BUILDING: Office Space ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 186,803 NUMBER OF DEVICES(if low voltage): 815 FIRE ALARM? 0 YES III NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Voice/data cabling,paging speakers,camera cabling,and access control (rough-in only) cabling. • CONTACT INFORMATION OWNER NAME: 1800 41ST STREET LLC TENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 1800 41ST ST STE 210 crrr Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Structured Communications CONTRACTOR ADDRESS: STREET PO Box 1368 crrY Snohomish STATE WA ZIP 98291 CONTRACTOR PHONE: 425-321-5343 CONTRACTOR EMAIL: dustin.duke@gostructured.com CONTRACTOR LIC.#(REQUIRED): STRUCC*892OL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 050586 PRIMARY CONTACT: D OWNER Cit CONTRACTOR - D OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-321-5343 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 lam 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 FEE • PERMIT tt 11 / 13/7.A3,r- E O ner/Aut < ized Agent Sign: Date (Revised 10/12/2015)