Laserfiche WebLink
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 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 916 Oakes Ave Everett, WA 98201 <br /> BUILDING AREA(if residential,new construction, remodel,or addition)N/A SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS m COMMERCIAL <br /> USE OF BUILDING: Whittier Elementary School <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 4838.40 <br /> NUMBER OF DEVICES (if low voltage): 2 <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable). N/A <br /> DESCRIPTION OF WORK: Provide, Install, Terminate, Test and Label: 1. [02] Cat6 Riser Rated cable installed <br /> between the nearest MDF/IDF's and [02] New CCTV Camera location. 2. Where replacing existing camera, remove <br /> existing camera and return to Owner. 3. Install new camera with mounts and hardware. <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> Everett STATE WA ZIP 98201 <br /> OWNER PHONE: (425) 3854000 OWNER EMAIL: sbarbano@everettsd.org <br /> CONTRACTOR NAME: CTS <br /> CONTRACTOR ADDRESS: STREET 2720 S Ash St <br /> crry Tacoma STATE WA zip 98409 <br /> CONTRACTOR PHONE: (206)686-2000 CONTRACTOR EMAIL: tammyo@cableCTS.com <br /> CONTRACTOR LIC.#(REQUIRED): CTS"TS881 BK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048173 <br /> PRIMARY CONTACT: ❑OWNER f I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425) 633-0070 <br /> Sean Moena CONTACT EMAIL: seanm@cableCTS.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 try the owner of this property to perform the work for which application is made and <br /> comply with the Stale Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> X313y y , E \ ZDC-ek0 <br /> Owner/Authorized AgentSiggnnatur Date (Revised 9/23/2016) <br />