Laserfiche WebLink
• <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 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 Ol <br />State License Number (required) Ci y o Everett Business icense Number (required) <br />Office- 12-0, 000 <br />Proposed Use of Building rLntract Price of Wor <br />om O`Hara <br />Ohara@p meelectric.com <br />Square Footage (If residential new construction, remodel or addition) C tact Pe h/Contact Number/Email <br />Number of devices (If low voltage) <br />Description of Work to Be Done: P-e4 ► j&r e.r `rS (-zx hr) -frofiers „ ;,fh LSD ,vr 5a knt 1 *w 4,,y AqS acya <br />►re c;+rce44 <br />(,X 3 40) ,4' x S aid, g0 8 7 3 rd A7o r 5 vi 1 -`- a 121$ . <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 ' <br />I hereby certify that 1 have read and examined this application and know the same to be true an4 J <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 PERMIT# <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 Llsr'v1 <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />/Signature Date <br />REWSED 081OW014 <br />