1110 POPLAR ST 2019-01-15 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION I�►'a CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 1 10 Poplar St., Everett WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 21 COMMERCIAL USE OF BUILDING: Hawthorne Elementary School ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 5,283.93 NUMBER OF DEVICES(if low voltage): 2 FIRE ALARM? 0 YES I1 NO ASSOCIATED BUILDING PERMIT#(if applicable): 'DESCRIPTION OF WORK: Installation of 2 IP video surveillance cameras. CONTACT INFORMATION OWNER NAME: Everett Public Schools TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 2098 crry Everett STATE WA ZIP 98213-0098 OWNER PHONE: 425-385-4217 OWNER EMAIL: bknutSon@eVerettSd.Org CONTRACTOR NAME: Ednetics, Inc. CONTRACTOR ADDRESS: STREET 1055 NW Maple St cnv Issaquah STATE WA ZIP 98027 CONTRACTOR PHONE: 425-200-0200 CONTRACTOR EMAIL: contracting@ednetics.com CONTRACTOR LIC.#(REQUIRED): EDNETI*896PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055466 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-200-0200 Hunter Page CONTACT EMAIL:hunter@ednetics.com 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# � E i - o2,9 Owner/ r orized Agent Signature Date (Revised 9/23/2016)