2416 COLBY AVE 2018-05-01 - Laserfiche WebLink

ELECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 24�6 COII�y AV@, Everett, WA 98201 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL use oF aui��iNc: Everett High School ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 5,793.29 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 INFdRMAT10N OWNER NAME: EVe�2tt PUbIIC SChOOIS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sraEer PO BOX ZO9H �,TM Everett STATE WA Z,P 98213-0098 OWNER PHONE: 425-385-4217 OWNER EMAIL: bk11UtS011@eV21'2ttSd.01'g CONTRACTOR NAME: EdC18tICS, 111C. CONTRACTOR ADDRESS: s,�EET 1055 NW Maple St cin. ISSaquah STATE WA ziP 98027 CONTRACTOR PHONE: 425-200-0200 CONTRACTOR EMAtL: contracting@ednetics.com coNTw►cTOR uc.#�ReQuiRe��: EDNETI*896PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055466 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-200-0200 HUtlt@P PagG' CONTACT EMAIL:hunter@ednetics.com AGREEMENT:I hereby certify that I have read and examined this applicafion and know the same to be true and correct. All provislons of/aws and ordinances goveming th/s type of work will be comp/eted whether spec�ed herein or not. The granting of a permit does not presume to give authority to vio/ate or cance/the provis/ons of any other state or loca/law regu/ating construction or the pertormance of construction. That/am authorized by the owner of this property to pertorm the work for which application is made and I comp/y with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett O�cia/Use On/y PERMIT# � r� � E �� - O�t2 wner/Authorized Agent Signature Date (Revised 9/23/2016)