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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 /> 1105 13TH STREET EVERETT. WA 98201 <br /> PROJECT ADDRESS <br /> PORT OF EVERETT PO BOX EVERETT WA/98201 N/A <br /> Owner Mail Address City State/Zip Phone <br /> Port of Everett-Cx Punchlist 1 105 13TH STREET EVERETT WA/98?01 N/A <br /> Tenant Mail Address City State/Zip Phone <br /> MACDONALD MILLER 7717 DETROIT AVE SW SEATTLE WA, 98106 (206) 768-4278 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> MACDOMF972BF 1/6/2017 $9.263.00 <br /> State License Number Contract Price of Work <br /> COMMERICAL DARLA DOLL <br /> Proposed Use of Building Contact Person (Plan Review) <br /> N/A <br /> Square Footage (If residential new construction, remodel or addition) <br /> 2 <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: Install (1) 277V/1 PH , 15 amp circuit and (1) low voltage controller. <br /> FEE 02:501 . °-CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that I 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 PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the O�J 0 Orb <br /> of construction. That I am authorized by the owner of this property to perform the <br /> work for which application ' de and I comply with the State Contractors Law 18.27 RCW and <br /> AC. <br /> 08/03/2015 <br /> \Signature Date <br /> REVISED 3/20/13 <br />