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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 />2510 W. Casino Rd. <br />PROJECT ADDRESS <br />LBA Realty Fund III Comp, IX LLC PO Box 847 Carlsbad CA, 92018 <br />Owner Mail Address City State/Zip Phone <br />Pacific Engineering Inc. 2510 W. Casino Rd. Suite B, Everett WA, 98204 425-407-1200 <br />Tenant Mail Address City State/Zip Phone <br />Kirby Electric Inc <br />Electrical Contractor <br />KIRBYE1077BN <br />State License Number <br />Office space <br />Proposed Use of Building <br />4826 B St. NW Suite 101 Auburn <br />Mail Address <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />C ity <br />WA, 98001 253-859-2000 <br />State/Zip Phone <br />$11,695.00 �<�G:, jr.� o'�''-ty'�� <br />�.; <br />Contract Price of Work + S�i1 (G i,�; VU l t) <br />David Seals <br />Contact Person (Plan Review) <br />�escr�pt�on of work to Be �or,e: Hookinq up equipment and providinq wiring for new receptacles: 12 circuits <br />total. Providinq Low Voltaqe cablinq for phone and data to 5 locations in new office. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for whic licatio is made nd 1 comply with the State Contractors Law 1$.27 RCW and <br />296. WAC. � / <br />REVISED 3/20/13 <br />FEE <br />Z75 5a <br />PERMIT# <br />E�ac��-�I ( <br />