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I <br /> ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9P201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �� ��0'.1(� <br /> ��M �-u� s � ��iu�i � o� � <br /> 12815 , Everett, WA. 98208 <br /> PROJECT ADDRESS <br /> Everett Public Schools 3900 Broadway Everett WA. 98201 425-385-4000 <br /> Owner t1a�l Address City StatelLp Phone <br /> Silver Lake Elementary 12815 Bothell-Everett H�NY Everett, WA. 9820& 425-385-6900 <br /> Tenant ldailAadress Ciry SIaIcQ�p Phonc <br /> CTS 2720 S. Ash Street Tacoma WA. 98201 206-686-2000 <br /> Electrical CoMrac;or b�a�i tiddress C�ty Slate/Z�p r'none <br /> CTS"TS8816K 048173 <br /> Slate License Number(reqwred) City of Evereq Busmess License Number(required) <br /> Educational S3 000.00 <br /> Proposed Use of Building Conlract Price of Work <br /> Steve Jor�an/stevej@cablects.com <br /> Sauare Footage Qf residentiat new construction,remodel or addiuon) Contact PersoMContact NumbedEmail <br /> 15 <br /> Number of devices (II low voltage) <br /> oescriPuoo o�work�o ee oone: CCTV Installation <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 /�D W <br /> � <br /> I hereby certily(hat f have iead and eraminod this applica6on and know fhe same(0 6e fiuo and <br /> wrrect. All provisions ollaws and ordinances goveming fhis typo ol work�wll be complete� <br /> whelher spacified heiein or no! Tho granfing ol a pemiif does not prosumo to grve aufhoriry fo PERMITk <br /> violafo or cancel fhe piovis�ons o/any other sfa(e or local law regulafing consfruclion or the � ' �r 'I _ 0 v� <br /> peAonnanco ol cons�nicfion. Thaf I am aufhonzed Gy tho owner o!fhis propeRy 10 pedorm fhe �t- <br /> worN for which applica(on is made and I compty wifh the Sfa1e Confracfors Law 18 27 RCW and <br /> 296.200 WAC. <br /> SynaWre Dale <br /> REVISE0080G.ro�+ <br />