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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 /> 616 Pecks Dr., Everett, WA. 98203 <br /> PROJECT ADDRESS <br /> Everett Public Schoolo 3900 Broadway Everett WA. 98201 425-385-4000 <br /> Owner Atad Atltlress Gry Slatc2�p Pnonc <br /> Madison Elementary 616 Pecks Dr. Everett WA. 98203 425-385-5900 <br /> Tenant Na�l ntlaress C�ry Statc2�v Phone <br /> CTS 2720 S. Ash Street Tacoma VJA. 98201 206-686-2000 <br /> EleCtr¢al COntractor Mail Adtlress C�ry State/Zip P�a�e <br /> ['TS"TS881 BK 048173 <br /> State L�cense Number(requrted) C��ty of Everett Busmess Llcense Number(�eqwred) <br /> Educational 53,200.00 <br /> Proposed Use ot�u�ltling Contract Pnce o`Work <br /> Steve Jordan/stevej@cablects.com <br /> Square Footage pf residential new construction,remodel or additron) Contact Person�Contatt Number�Email <br /> 16 <br /> Number of devices(Il low vollage) <br /> I <br /> oesc��Pc�o�oi wo�k w se oo�e CCN Installation <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 / „��v <br /> I hereby cert��y thaf!h�vo read ond oramined this applicahon and know fho samo fo Do fmo antl �/� <br /> correcf All prowsions ollmvs and o�drnances govemmg Ihis typo al work wrll bv completod <br /> �vhefher specdied herem o�not The granhng ol a pe�md does not presumc to g�ve aufhonty fo pERMIT� <br /> v�olafe or cancel fhe prov�s�ons o!any other sfafe or local law regulahng constructron or fhe <br /> peAom�ance o!consfruc6on. 1ha(1 am aufhonzed by fhe owner ol fhis property to peAortn fhe E I ���� Q �Z. <br /> work lor��•h�ch app6calion�s madrt and 1 compty wrfh the State Confracfors Law 78 27 RCW and <br /> 296 200 WAC. <br /> SlgnaWrC Datr. <br /> Fi t'SEo[s05^O+a <br />