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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 everettwaorg <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2628 Hoyt Ave <br />PROJECT ADDRESS <br />Trinity Lutheran College 4221 228th AVE SE Issaquah, WA 98029 (425) 961-5533 <br />Owner Mail Address City State/Zip Phone <br />Trinity Lutheran, College <br />Tenant Mail Address City State/Zip Phone <br />Rodgers EeL-' PO Box 1152 Everett WA 98206 425.252.2107 <br />Electrical Contractor Mail Address City State/Zip Phone <br />Zri TIC <br />RODGEEL792PR $ 15, 000. DO <br />State License Number Contract Price of Work <br />TLC - Residential CCTV Jeff Olsen <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done Provide Raceway d Support for (6) CCTV Cameras d (2) DI/Rs <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO r$=32_5 <br />BE IN RACEWAYS, MC OR AC CABLE. =00 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ry ? <br />1 hereby certify that 1 have read and examined this application and know the same to be true and C UD� _ �3- <br />correct. All provisions of laws 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 the 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 rind <br />296.200 WAC. <br />Jeffery Olsen 5/5/2008 Job: 4335 <br />