7621 BEVERLY LN 2018-09-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov � www.everetfinra.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 762� BeV@�Iy Lll, Everett, WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: �COMMERCIAL use oF eui��iNc: Evergreen Middle School ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 5,626.45 NUMBER OF DEVICES if low volta e : 2 FIRE ALARM? ❑YES � NO ASSOCIATED BUILDING PERMIT# if a licable : DESCRIPTION OF WORK: Installation of 2 IP video surveillance cameras. CONTACT INFORMATION OWNER NAME: EVefEtt PUbIIC SChOOIS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr PO BOX ZO98 �,�-,, Everett STATE WA Z,P 98213-0098 OWNER PHONE: 425-385-4217 OWNER EMAIL: bknUtS011 p�2V@I'2ttSCI.01'g CONTRACTOR NAME: ECIIIetICS, �C1C. CONTRACTOR ADDRESS: sTReeT��55 NW Map�e St C17Y Issaquah STATE WA ZIP 98�27 CONTRACTOR PHONE: 425-200-0200 CONTRACTOR EMAIL: COfltfaCtlilg p�@Clfl@tICS.CORI coNT�u►cTOR�ic.#�ReQuiReo>: EDNETI*896PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055466 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-200-0200 Hunter Page coNTacT eMAi�: hunter@ednetics.com AGREEMENT.•I hereby certrfy 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City o(Everett Official Use Only � j^ � PERMIT# ��-� E � �-O � -- O� �� � Owner/Authorized Agent S nature Date (Revised 9/23/2016)