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Nov-12-2014 07:43 AM Prime Electric 425-460-4669 <br />6/6 <br />214292 <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 40-87 1st Floor <br />PROJECT ADDRESS <br />The Boeing Company P.O. Box 3707 Seattle, Wa 98124 <br />Owner Mail Address city State/Zap Phone <br />Tenant <br />Prime Electric <br />Mail Address <br />13301 SE 26th St <br />Electrical Contractor Mail Address <br />PRIMEEI134BT <br />State License Number (required) <br />Office Use <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel oraddition) <br />Number of devices (If low voltage) <br />city <br />StaterZJp <br />Phone <br />Bellevue, Wa 98005 425-747-5200 <br />city State/Zip <br />019946 <br />Phone <br />City of Everett Business License Number (required) <br />$45,000 <br />Contract Price of Work <br />Tom O'Hara <br />tohara@primeelectric.com <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: Add Lighting in 1st Fl Atrium of the 40-87 Building <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 some 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 I 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 />FEE <br />775 00 <br />PERMIT# <br />ElL-l [ -07� <br />REVISED OaMWO14 <br />