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Oct-30-2014 11:26 AM Prime Elect &25-460-4669 <br />3 3 l <br />2/8 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 Lsi tit 0-- a l.b <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />3003 West Casino Road <br />PROJECT ADDRESS <br />The Boeing Company P.O. Box 3707 Seattle Wa 98124 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address city State/Zip Phone <br />Prime Electric 13301 SE 26th St Bellevue Wa 98005 425-747-5200 <br />Electrical Contractor Mail Address city State/Zip Phone <br />PRIMEEI134 BT 019946 <br />State License Number (required) City of Everett Business License Number (required) <br />,cam sP� �' <br />Proposed Use of Building J Con;; - <br />Work <br />Square Footage (if residential new construction, remodel or addition) Contact Person/Contact Number/Email <br />Number of devices (If low voltage) <br />Description of Work to Be Done: J' 0LPe,_ 41R R*4-e1�5 <br />Qi2L'rcEY <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 q0.450 <br />i hereby certify that 1 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 PERMIT# <br />violate or cancel the provisions of any other state or local law regulating construction or the (� <br />performance of construction. That I am authorized by the owner of this property to perform the E i -1 � f;/ <br />work for which applic " is made and / comply with the State Contractors Law 18.27 RCW and <br />296.200 WB.O� / � <br />REVISED 08/06/2014 <br />