720 80TH ST SW SNO CO EOC 2017-06-07

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 720 80th St. SW, Everett 98203 BUILDING AREA(if residential,new construction, remodel, or addition)5,056 RF BUILDING TYPE. 0 SFR-DETACHED 0 SFR-ATTACHED D DUPLEX El MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Operation Center ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK- $ $30,000 NUMBER OF DEVICES (if low voltage): 24 FIRE ALARM? 0 YES Rl NO ASSOCIATED BUILDING PERMIT# if appliGable : DESCRIPTION OF WORK: Low voltage cabling and equipment for audio/visual systems. CONTACT INFORMATION OWNER NAME: Snohomish County TENANT NAME(if Commercial).* Same OWNER MAILING ADDRESS: ...... 3000 Rockefeller Ave. CITY Everett sTAIL WA zip 98201 OWNER PHONE: 425-388-3221 —TOWNER EMAIL: CONTRACTOR NAME: Blue Sky Integrated Solutions CONTRACTOR ADDRESS: sTxeET 3315 & 11 6th St. Suite 121 CITY Seattle STATE WA z,P 98168 CONTRACTOR PHONE: 206-957-5100 ]CONTRACTOR EMAIL: CONTRACTOR LIC.#jREQUIRED): BLUESS1932LM ..............ICITY OF EVERETT BUSINESS LIC.#(REQUIRED); 047904 1� PRIMARY CONTACT: El OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-957-5100 Jim Corder CONTACT EMAIL:jim.corder@blueskyiti,com AGREEMENT /hereby certify that I have read and examined this application and know e 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 cancei the provisions of any other state o!' local law regulating construction or the performance of construction. That I am aothonzed 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 RC and 296.200 WAC, City of Everett Official Use Only PERMIT# '� eriAu4rized Agent Signature Date (Revised 9123,12016)