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! • <br /> ELECTRICAL PERMIT APPLICATION <br /> /11/%00‘.;---.4 <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 /> PROJECTSITE INFORMATION <br /> PROJECT ADDRESS: 2215 Pine St., Everett WA 99201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: EI COMMERCIAL <br /> USE OF BUILDING: Elementary School <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 5,500.00 <br /> NUMBER OF DEVICES(if low voltage): 2 <br /> FIRE ALARM? 0 YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Installation of 2 IP video surveillance cameras. <br /> . TACT INFORMATION <br /> OWNER NAME:Everett Public Schools TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 2098 <br /> „Ty Everett STATE WA DP 98213-0098 <br /> OWNER PHONE: 425-3854217 OWNER EMAIL:bknutson@everettsd.org <br /> CONTRACTOR NAME: Ednetics, Inc _ <br /> CONTRACTOR ADDRESS: STREET 1055 NW Maple St <br /> Issaquah STATE WA zip 98027 <br /> CONTRACTOR PHONE:425-200-0200 CONTRACTOR EMAIL: contracting@ednetics.com <br /> CONTRACTOR LIC.#(REQUIRED): EDNETI*896PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):055466 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-200-0200 <br /> Hunter Page CONTACT EMAIL:hunter@ednetics.com <br /> AGREEMENT:1 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 /> E ��O -- Oct O <br /> Owner orized Agent Si ature Date (Revised 9/23/2016) <br />