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l'. � _ <br /> ELEGTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMiT SERVICES <br /> 3200 CEDAR STFEET, EVERETT, WA 98201 <br /> 425-?57-8810 - FAX425-257-8857—www.everettwa.org ��J-03—�J <br /> APPLICAT�ONS ARE ACCEPTED FR�M 8 AM TO 4 PM �1l10 `��D� <br /> 10110 Evergreen Way, Everett,WA 98204 <br /> PROJECT ADDRESS <br /> 6nerald City <br /> Alhletic Club 10110 Evergreen Way Everelt WA 98204 425-347-5000 <br /> Ownef Mail Address Cily StalelZip Phone <br /> Same as above <br /> Tenant Mail Address City Sta�e/Zip Phone <br /> Poinl to Point LV Services 2004 196t1i St. SW Lynnwood WA 96036 425-771-7257 <br /> EleclficalConlfaclof MailAddruss Cily Slate2ip Phone <br /> POINTPL890D9 S1,300.00 <br /> ( State License Number Contract Price of Work <br /> \ <br /> Athletic Club John R. Hardwick Ph. 206-714-4003 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Install two speakers end route wire to existing sound system equiptnent. <br /> NOTE: WIRING IN NOIV-DWELLINGS IS REQUIREU TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT L OCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceAi(y that 1 have read and examined this application and know the same to 6e frue and <br /> correct. All provisions o(laws and ordinances goveming fhis type o/work will be completed <br /> whether specified hen:in or noL Tha granting o/a permd does not presume'o give authonty fo <br /> violate or cancel the�rovisions o/any ofher state or local law regulafing constiuctwn or the <br /> pedormance o/construchon. That 1 am authonzed by the owner o/this property fo peAorm the ��� I <br /> work/or which plication is made and 1 compty with the State Confractors Law 18.27 RCW and <br /> 296.200 A 0 <br /> � � 10-03-11 ( �� I <br /> ( - naWre Date <br /> \ <br />