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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 4919 EVERGREEN WAY <br /> PROJECT ADDRESS <br /> QFC 852 4919 EVERGREEN WAY EVERETT,WA 98203 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> SEA-TAC ELECTRIC, INC. 7056 S.220TH ST. KENT WA,98032 (206)872-5553 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SEATAEI077RW $3000 <br /> State License Number Contract Price of Work <br /> COMMERCIAL <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) <br /> Description of Work to Be Done: RELOCATE(7)20 AMP CIRCUITS. <br /> INCLUDE THE REMOVAL, RELOCATION,AND INSTALLATION OF MISC. ELECTRICAL SYSTEMS PERTAINING TO THE <br /> AFOREMENTIONED SCOPE OF WORK. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 132 ,9 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that I have read and examined this application and know the same to be true and E 6—6 f O — 050 <br /> correct. All provisions of laws and ordinances governing this type of work will be completed L <br /> whether specified herein or not. The granting of a permit does notresume 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 I am authorized by the owner of this property to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> IAN EDMUNDS 10/05/2014 <br /> Signature Date <br />