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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />426-257-8810 - FAX 425-257-8867 — 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 />PRIMEE1134BT <br />State License Number (required) <br />0;-,r,-c ,, <br />Proposed Use of Building <br />Square Footage (if residential new construction, remodel or addition) <br />Number of devices (if low voltage) <br />0�11 ;1� <br />City of Everett Business License Number (required) <br />$ Z6 r IMO <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: lac, 7,,Kq -1-5 -rnopp <br />4.t a -(Tok u bet 217 0 16 <br />A, a rid M, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/ hereby certify that / 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 / comply with the State Contractors Law 18.27 RCW and <br />296,200 WAC. <br />05 - Z 7 - ; 7 <br />FEE <br />Rio. <br />PERMIT# <br />E v-4o3 - 2-o3_ <br />REVISED 0810612014 <br />