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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />Everett Memorial Stadium 3900 Broadway <br />PROJECT ADDRESS <br />J����'U�. <br />� � <br />' AUG � � 2013 ! <br />r <br />� �-�; R , ,-, , <br />Everett School District 4730 Colby Everett WA 98203 (425) 385-400 <br />Owner Mail Address City State/Zip Phone <br />Everett School District Same as Above <br />Tenant Mail Address City <br />State/Zip <br />Phone <br />Tube Art Group 11715 SE 5th St. Bellevue WA 98005 (206) 264-2938 <br />EleCtrical ContraCtOr Mail Address City State/Zip Phone <br />TUBEAD1110NH $200 <br />State License Number Contract Price of Work <br />Stadium (High School Sports) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: f�2p�aC2 tW0 @XIStICIg SCOfebOafdS <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Shawn Bowen <br />Contact Person (Plan Review) <br />1 hereby certify that 1 have read and examined fhis application and know fhe same to be true and <br />correct. All provisions of faws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by tl�e owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />� <br />w � <br />REVISEU J/?0/13 <br />FEE <br />� G� <br />PERMIT# <br />E 13�� � �7U <br />Z�Yv�'IC%13CY��CU <br />