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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 Seattle, Wa 98124 <br />Owner Mail Address P . O . Box City State/Zip Phone <br />3707 <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 />PRIMEEI134BT r0199416--_ <br />State License Number (required) ity rett Business Li ense Number (required) <br />office $ 170, 006 ' °, <br />Proposed Use of Building Contract Price of Wo <br />om O'H <br />tohara@primeelectric.com <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: <br />Aeje 1A ce, <br />Z x q -r6 <br />-57Q.m t- <br />j 0 cot 4-i 0 h S atkl a <br />re C E r T <br />5 <br />- ,4ret i �r Q <br />uJ i� y ex S -� ,a C i r'"Ci4 <br />3'oL �� 7- ) 0 76, <br />wp. . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that l 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 / 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 />sly Car» er. <br />FEE <br />o <br />PERMIT# <br />E �'-402 - 02-2 <br />REVISED 08106a014 <br />