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( <br />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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM li <br />2802 Wetmore Ave - 5th Floor <br />PROJECT ADDRESS <br />'I rinity Lutheran College 2802 Wetmore Ave Everelt WA, 98020 <br />Mail Address City SteleTLiP Plane <br />Tenant Mail Address City StateRip Plane <br />Preferred Electric Ito\ 77120 Seattle WA, 98177 206.499.6691 <br />Electrical Contractor Mail Address City Statwzp Phone <br />PREFEE1929PI, $52d1fA1.11ll <br />Stale License Number Contract Price of Work <br />Jeff 01=en - 2116.499.6691 <br />clia)+cl <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: 5th Floor Buildout fora Chapel, Art Studio & Art Gallery for'110 <br />Demolition, Relocate (1) Electrical Panel, Maintain Circuits, Relocate VAV Boxes, Add New Circuits, New Rere:riacles, <br />New Light Fixtures, New Lighting Controls, Maintain Existing Lighting, etc. <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE I <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �J 1 2 - 0S <br />I hereby certify that I have read and examined this application and know the same to be true and <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 revision of any other state or local law regulating construction or the <br />performance of co ion. That I am authorized by the owner of this property to perform the <br />work for which appI atio is made and 1 compfy with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />�te Z I1 am <br />Signs Date ��� <br />