9700 HOLLY DR 2018-05-17 - Laserfiche WebLink

E =CTRICAL 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: 9700 HOIIy DC. EVef2tt, WA. 98204 BUILDING AREA(if residential, new construction, remodel,or addition)Addition 2000SF SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: POrtable CIaSS ROOm ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ �500 NUMBER OF DEVICES (if low voltage : � FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: Install 26 data cables for new portable CONTACT INFORMATION OWNER NAME: Mukiteo School Dist.Aces High School TENANT NAME(If Commercial): OWNER MAILING ADDRESS: s�eer 9401 Sharon Dr. c,T,, Everett STATE WA ZiP 98204 OWNER PHONE: 425-356-1274 OWNER EMAIL: TruaxD@mukilteo.wednet.edu CONTRACTOR NAME: Skyline Communications Inc. CONTRACTOR ADDRESS: sraeeT 12002 Beverly Park Rd. cin, Everett STATE WA ZiP 98204 CONTRACTOR PHONE: 425-355-1593 CONTRACTOR EMAIL: kI.ChlldfeSS�a SkyIIfl2COmmU111C8tIOf1S.l12t CONTRACTOR LIC.#(REQuiREo): SKYLIC1933Q7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 41057 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-309-2901 Ki Childress CONTACT EMAIL: Ki.Childress@skylinecommunications.net 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 goveming this type of work will be completed whether specified herein or not. The granting of a permit does nof 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 1 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 of Everett Official Use Only / PERMIT# ,� - / / � ��-� � � � ,- � E �'1 �� -o �, wner/Authorized Agent Signature Date (Revised 9/23/2016)