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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 P.O. Box 3707 Seattle, Wa 98124 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Prime Electric <br />Electrical Contractor <br />PRIMEEI134BT <br />State License Number (required) <br />Of ce <br />Proposed Use of Building <br />Mail Address <br />13301 SE 26th St <br />Mail Address <br />Square Footage (if residential new construction, remodel or addition) <br />Number of devices (if low voltage) <br />City <br />State/Zip <br />Phone <br />Bellevue, Wa 98005 425-747-5200 <br />City <br />State/Zip <br />Phone <br />019946 <br />City of Everett Business License Number (required) <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: go <br />le4c.P— 2 Xq <br />�rdPPer-S <br />,r, /* �--15l% ,n sawst 1uGar t`vyrS <br />4tnd re-ctroui fi <br />2X,'-541'nq <br />0 <br />circa i Fs . 36b :W Z 16 7(o <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l 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 goveming 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 l comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />Signature Date — <br />FEE <br />�o 1-j, �� <br />Z- <br />PERMIT# <br />E�joZ-I <br />REVISED 0810612014 <br />