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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />3721 Oaks Ave Everett, WA. 98201 <br />PROJECT ADDRESS <br />Everett Public Schools 3900 Broadway Everett WA. 98201 425-385-4000 <br />Owner 61ai1 Address Ciry StatelZip Phonc <br />Athletics Buildinq 3721 Oaks Ave Everett WA. 98201 425-633-0070 <br />TenaN �dail AtlAress Ciry StatelZ�p Phone <br />CTS 2720 S. Ash Street Tacoma WA. 98409 206-686-2000 <br />EieclnWlConhactOr htailAddress City StateRip Phone <br />CTS"TS881 BK <br />Slate License Number (required) <br />Educational <br />Proposed Use ot �uiltlmg <br />Square Foolage pf residential new construction, remodel or addition) <br />Number of devlces (If low vollage) <br />Description ot Work to Bc Donc. CCN �nSlaI12U0i1 <br />CITY OF EVERETT LOCAL SAIES TAX CODE IS J105 <br />048173 <br />City ot Everetl Business License Number (required) <br />;, • 11 11 <br />Contract Pnce ol Work <br />Steve Jordan/stevej@cablects.com <br />Contact Person/Contact NumbeuEmall <br />1 hereby ceridy thaf 1 have read and ezamined fh's application and know fhe same fo be I�ue antl <br />conecf. All proviswns o/ la�vs antl ordinances yoveming fhis fype o/ work wdl be completed <br />n�hether specdied hermn or not 7he granting ol a pemrd does nof presume to give aulhonty fo <br />violafe or concel fbe provisions o( any other sfate or local law regulafmg construchon or the <br />perlormance ol consfrucfron. Thaf 1 am aulhorized by Ihe owner ol this property fo perlorm 1he <br />work for �vbich applicafion rs made and 1 compry wdh the State Contractors Law tB.27 RCW and <br />296 200 WAC. <br />Signature Daie <br />PeV15F0 OBOS:V u <br />FEE <br />�� ao <br />PERM[T# <br />E I `����� <br />