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06/27/2014 13:56 2062911� <br />SIMPLEXGRINNEL� <br />EL�CTl�IC,A�L P�IRMIT A,�'PLI��AT�O�N <br />CNTY OF EVER�TT PERMIT S��iVI"�E� <br />3200 CEDAR STREET, �VERETT, WA 98201 <br />425-257-8810 - FAX 425-257�8857 — www.everett����a.org <br />PAGE a2/02 <br />900 �aci:G�.0 Ave (P�ciLic C'�.mpus - Women's & Chi).d,r.cn's Center -.F1:oor 5 AuCiSxn Ccnter) <br />�ROJ�CT ADDRESS <br />Providence Gen Med Ctr, PO 13ox 1067, Evex�el:t, Wn 98206-J,067 4;:a-256-7BJ.2 <br />OWnef Mail Address Ciiy $tate/zlp PhOne <br />�RMC E���r�tt, 900 Pac_I..f.i,c Ave, Eve.r.ei.t WA 98201 .7,Q6-320-2744 <br />Tgnant <br />Mail Address <br />City <br />State/Zlp <br />v�C11 Electric, 56J_4 7th 11ve South, 5eattle DPA 98108�-2644 206--�79--6895 <br />Electrical Contractor Mail Addresa <br />V�C11�CI542MU <br />State Lfcense Number <br />Mcdical �ldg. <br />Propos�tl Use of 6uf{ding <br />Square �ootage (If reSid�ntial new construction, remodei or addition) <br />22 <br />IVumber of devfces (If fow voitage) <br />City <br />St�4e/Zlp <br />Phone <br />Phone <br />:��755.00 <br />Cantuaet Price of Work <br />Sim�c>:LexGrinnell/J7,riet St�bbins <br />2Q6.�J 91 -� 9 68 ��RMZT <br />Cont.�et Person (i'lan Re�iew) <br />Descriptian of Work to Be Done: Add (22 ) devices to e�a.sting fire ale�rm sys�l;em. _ <br />Joi.nt venture be�:ween vEC� �lectric ��ins�aZ1) a�,d <br />SimplExGrinnell (des�.gn, matarials, x;�r-ogram, test) . <br />CI'TY O�' EV�12�Ti' LOCA� SALES tAX GOD� �S 3105 <br />I hereby certify that I have road and examined this &pplication and know the sam� to be irue ar�d <br />correct. All provisions of laws and ordinances goveming this fype of wo� wiU be corrrpfetQd <br />whether specified hetnin ar noi. The granting of a pe�mit does not� pr�s�me to give authority to <br />violate or canceJ the provisions of any ofher state or local law �`ogulating construciion or the <br />performance of constructfon. That I am authorized by the own�mr of this property to perfvrm fhe <br />work for which application is mado and ! comply with the Sta�e Confracfors Law 18.27 RCW arlri <br />zQs_2oo w,ac. <br />RL^VISED 9/2CY73 <br />FEE <br />�� � ��-/� � <br />PERM17# <br />� �g� (5 <br />