7621 BEVERLY LN 2019-01-17 - Laserfiche WebLink

401111pL. ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR.STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT ADDRESS: 7621 Beverly Ln Everett,WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition)N/A SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: l COMMERCIAL USE OF BUILDING: Evergreen Middle School CONTRACT PRICE OF WORK:$ 10962.00 NUMBER OF DEVICES(if low voltage): 4 FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): N/A DESCRIPTION OF WORK: Provide, Install, Terminate, Test and Label: 1. [04]Cat6 Riser Rated cable installed between the nearest MDF/IDF's.and[04] New CCTV Camera location. 2. Where replacing existing camera, remove existing camera and return to Owner. 3. Install new camera with mounts and hardware. OWNER NAME:Everett School District TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3900 Broadway crry Everett STATE WA zip 98201 OWNER PHONE: (425)3854000 OWNER EMAIL:Sbarbano©everettsd.org CONTRACTOR NAME: CTS rf CONTRACTOR ADDRESS: STREET 2720 S Ash St cm Tacoma STATE WA zip 98409 CONTRACTOR PHONE: (206)686-2000 CONTRACTOR EMAIL: tammyo©cableCTS.COm CONTRACTOR LIC..#(REQUIRED): CTS"TTS881 BK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):048173 PRIMARY CONTACT: ❑OWNER ca CONTRACTOR Cl OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)633_0070 Sean Moena CONTACT EMAIL:seanm@cableCTS.com AGREEMENT:t hereby certify that/hare 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 ofany other state or local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 298,200 WAC City of Everett Official Use Only PERMIT# . `1 E - 02(J Owner/Author) '4,• nt Sign• Date (Revised 9/23/2016)