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r <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�Ob <br />� Pacific Avenue, Everett, WA <br />PROJECT ADDRESS <br />PROVIDENCE MEDICAL CENTER, 916 Pacific Avenue, Everett, WA <br />Owner Maii Address City 5tate/Zip <br />Phone <br />PROVIDENCE MEDICAL CENTER, 916 Pacific Avenue, Everett, WA <br />Tenant Mail Address City State/Zip Phone <br />VECA Electric PO BOX 80467 Seattle WA 98108 206-436-5200 <br />Electrical Contractor Mail Address City State/Zip Phone <br />VECAECI542MU <br />State License Number <br />$32,000 <br />Contract Price of Work <br />Clinic NANCY DUMONT <br />Proposed Use of Building Contact Person (Plan Review) <br />_ : ��' � +i 2 C�" �.<J�i--eli� � V U�7 � <br />Description of Work to Be Done: � J�-''� ���� Z <br />Remodel existing space. Scope includes lighting, <br />branch wiring and Fire Alarm �C�r�_ ,or c`x.1� - `�Y� �/�y�,.,,,,t ,,,,sf�-�l� l��" ��C.�,-� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />cj go . o� <br />1 hereby certify that 1 have read and examined this application and know the same to be true and �' (.��1 /_ � O(..(- � <br />correct. All provisions of laws and ordinances governing this type of work will be complefed t ll lU t <br />whether spec�fied herein or not. The granting of a perm�t does not presume to give authonty to <br />violate or cancel the provisions of any ofher state or local law regu�ating consfruction or the <br />performance of construcbon. That I am authorized by the owner of this property fo perform the <br />work for which applicafion is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />� <br />