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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 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 O1994 <br />State License Number (required) I City ofey6rett Ousiness icense Number (required) <br />ark-c e. <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (if low voltage) <br />> ntract Price of W <br />T m O'Hara,/ <br />to`t ra imeelectric.com <br />Contact Person/Contact NumbedEmail <br />Description of Work to Be Done: .Olac_Z ,<le - S 'fruF•�ev�s sue; - L C a :n lcxrr► e 10 4eavr S c�.+2 c <br />fe-CIawl 4vileni 4m-,zerKre_ sdA EX� gs flr�,a er K-r- ,H, I awm,6e4r ' 216 76 9. <br />gu; jd�/nq ye" 81 _jA /a�sr h} Curd y7h�g� k <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 I 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 />,6t, <br />TSignature Date <br />FEE <br />� SSS -CDC <br />PERMIT# <br />E 1-�O_ -2-D <br />REVISED OM2014 <br />