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• <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 <br />Mail Address <br />city <br />State/Zip <br />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 <br />State License Number (required) <br />owo <br />Proposed Use of Building <br />Square Footage (if residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />01RO AIR <br />City of Everett Business License Number (required) <br />f 12 0 000 <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: A p fQ CC 2 X 5 1" CA 4-ivns <br />a rid treGtr(A14- S06Jlern,9 -A"rr,irrUM vv,J-11 C,'C Mw,"ber <br />.J 7. <br />Iifo 76 d. 6"l ldi"a 1/# - 87 X rd .rji,,- pt- 4"d 1-a h.e 37-C, 14XAurr,5 <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 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 l comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />0�; - 2.7 -17 <br />FETE <br />M /� <br />l SSS .00 <br />PERMIT# <br />E 22-_ <br />REVISED 08/06/2014 <br />