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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />ClTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />1122 75th St. SW <br />PROJECT ADDRESS <br />Canyon Creek Church <br />Owner <br />Same <br />Tenant <br />1122 75th St SW <br />Mail Address <br />Mail Address <br />Everett <br />City <br />City <br />WA 98203 <br />State/Lip <br />State/Zip <br />4255822366 <br />Phone <br />Phone <br />Superior HVAC & Electrical 1h900 Interurban Ave S Suite 130 Seattle WA 98168 206-457-8616 <br />Electrical Contractor Mail Address City State/Zip Phone <br />SUPERHE869LQ $32,874.00 <br />State License Number Contract Price of Work <br />Church Isaac 253-691-6760 <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />�escription of Work to Be Done: Modify (4 ) existing circuits for conf erence room, add <br />(2) new circuits for elevator machine room, modify (5) circuits for AHU <br />on roof, and modify (11) VAV box circuits. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��� �. �� <br />I hereby certify that I have read and examined fhis app(icatron and know the same to be true and <br />correct. Rll provisions of laws and ordinances governing thrs type of work will be completed -- <br />whetherspecified herein ornof. The granting of a permif does not presume to give authority to PERMIT# <br />violate or cancel the provisrons of any other stafe or local law regulafing construcfron or the � / D� � 0� <br />performance of construcfion. That 1 am authorized by the owner of this properfy to perform the E L i �. <br />work for wiiich applrcatron rs made and 1 comply with the Stafe Contractors Law 18.27 RCW and <br />296.200 WAC. , <br />REVfSED 3/20/13 <br />