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/ <br /> EL�CTRICAL PERMlT 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 10110 Evergreen Way <br /> PROJECT ADDRESS <br /> EmeraldCiiy.4thleticClub. Same r�5' BeI�W <br /> �ef Mail Address Ciry State2ip Phone <br /> eme�a�ac��Atn�e���c��b. 10110 Evergreen Way Everett, WA 98204 (425) 347-5000 <br /> Tenant <br /> Mail Address City State2ip Phone <br /> sea-ra� E�e�<<�����. 7056 S.220th St. Kent WA 98032 (253) 872-5553 <br /> Eledrical Contractor Mail Address Ciry State2ip Phone <br /> SEATAE1077RW $42,OOQ <br /> State License Number ConVact Price af Work <br /> Commercial <br /> Proposed Use of Building Contad Person (Plan Review) <br /> �CO E� os353� <br /> Square Footage(If residential new construclion,remodel or addition) <br /> l.'pgrading Florescent lighting to L.E.D. <br /> Desuiption of Work to Be Done: — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � �O OO <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> I herebY ceRily that 1 have read and examined this application and know the same to 6e hue and �(� � � — � �� <br /> correct. All provisions o/laws and ord�nances govem�ng fhis type ol work will be completed <br /> whefherspecrfied heiem or not. The grantrng of a perm�f does not presume ta g�ve authority to <br /> viola[e or cancel fhe provisions ol any other sfate or local law regulating constructlon or fhe <br /> performance of consfruchon. That 1 am aufhorized by the owner of thisp roperty to pertorm the <br /> work(or which applicatio,�is made and I comply with fAe State Contrac[ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ` ��_ 11/24/2014 <br /> Signature Date <br />