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• , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEJAR STREET, EVERETT, WA 98201 g`13-'2 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org c,202-0 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -7n, flop{ <br /> Providence Everen Corny Campus-1321 Colby Ave.Everett.WA 98021 <br /> PROJECT ADDRESS <br /> Providence Medical Center 1321 Colby Ave Everett WA.98021 425-261-2000 <br /> Owner Mail Address City StatefZip Phone <br /> Providence Medical Center 1321 Colby Ave Everett WA.96021 425-261-2000 <br /> Tenant Mad Address City State/Zip Phone <br /> VELA Electric 5614 7th Ave S Seattle WA 98108 206-436-5200 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> VECAECI542MU 54'000 <br /> State License Number Contract Price of Work fl <br /> Commercial Nancy Dumont <br /> Proposed Use of Building - Contact Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) <br /> 1 <br /> Description of Work to Be Done' ND811688 7th Floor Electncal Revisions <br /> Remove + IAsiid If`L nAres, Its recap ck5, circuit lola�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. G ry <br /> I(k) ( <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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 r /!�, <br /> whether specified herein or not. The granting of a permit does not presume to give authohty to 12. C — V�� <br /> violate or cancel the provisions of any other state or local law reguting construction or the <br /> performance of construction That I am authoh a owner of this property to perform the <br /> work f which application is made and I comply with th tate Contractors Law 18.27 RCW and <br /> 296 2WAC. <br /> 7 7 - <br /> Signature Date <br />