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I-aw qw <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 /> 1718 Broadway <br /> PROJECT ADDRESS <br /> Sunrise Services 1718 Broadway Everett WA 98201 425.347.3149 <br /> Owner Mail Address City State[Zip Phone <br /> Same <br /> Tenant Mail Address City State/Zip Phone <br /> Preferred Electric P.O. Box 77120 Seattle WA 98177 425.5819662 <br /> Electrical Contractor Mail Address city State/Zip Phone <br /> PREFEE1925PL 047656 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Offices $13,985 <br /> Proposed Use of Building Contract Price of Work <br /> Lorne Wallitner 425.583.9662 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: Duplex outlets, lighting & switching for added offices in existing space. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 0 3()9, OS <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 PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performanceE <br /> of construction. That I 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 /> 29q.200 WAC. <br /> 6/23/15 <br /> Signature Date <br /> REVISED OW612014 <br />