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ELECTRICAL PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810•FAX 425-257-8857•ww�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 11014-19th Ave SE Everett, Wa. s8208 <br /> PROJECT ADDRESS <br /> Skotdal Rea/estafe 2707 Co/by Ave Ste 1200 Evereff, Wa. 9B206 425.252.54A0 0 <br /> Owner Mail Address City State/Zip Phone <br /> 24 HR Fifness 11014-19th Ave SE Everett, Wa.98208 <br /> Tenant Mail Address City Slate/Zip Phone <br /> Rodgers E/ectric PO Box 1152 Everett WA 9B206 425.252.2107 <br /> Electrical CoMractor Mail Address City State2ip Phone <br /> R006EEC232PA � 1 Z 0010'00 <br /> State License Number Contract Price of Work <br /> 24hr fitness Cenfer MON Ha1� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: Three new lighf po%s and eighf wallpacks <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. .� 2BO.00 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhaf 1 have read and examined this application and know fhe same fo oe frue and <br /> conecL All provisions o!laws and o�dinances govemir,g Ihis fype ol�vork�vill be complefed <br /> �vhefher spacilied herein or noL The granting ol a pemiif does nof presume to give aulhonty to <br /> violafe or cancel fhe provisions ol any other slafe or local law regulating construction or fhe / <br /> pedormance o7consfruction. Thaf I am autho�ized by fhe owner o/fhis property fo peAorm the n <br /> work!or which applicafion is made and 1 compry wifh fhe Sfate Contrecfors La�v 78.27 RCW and , ; � D�.L <br /> 296200 WAC. ��S <br /> �� ^ <br /> � l� �•_.� ItndGcn k:lc[Iric Cn..Inc. <br /> // <br /> !/;'��"". ._ _' � � tmoe�noll'Irnnodti.iun. <br /> � ` �Y •l <br /> V <br /> Jeffery Olsen 5/2/2008 Job: 4316 <br />