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Oct-30-2014 11:26 AM Prime Elect 6425-460-4669 10 <br />21 �i <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 />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 StateMp Phone <br />Prime Electric 13301 SE 26th St Bellevue Wa 98005 425-747-5200 <br />Electrical Contractor Mail Address City Statemp Phone <br />PRIMEEI134 BT <br />State License Number (required) <br />GLwilmc <br />Proposed Use of Building <br />AYR <br />Square Footage (If residential new construction, remodel or addition) <br />019946 <br />City of Everett Business License Number (required) <br />Contract Price of Work , <br />sg <br />Contact Person/Contact Number/Email <br />Number of d ices (If low voltage) �-- <br />Description of Work to Be Done: / t�/)LgL,� <br />�mrn �Lt1tJ� <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 <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That l am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Signature Date <br />FEE ``ll <br />S5V D a <br />PERMIT/#! <br />E (q(0- <br />6/8 <br />REVISED OW612014 <br />