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812576-809 <br />� <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 />916 Pacific Avenue, Everett WA 98201 <br />PROJECT ADDRE:iS <br />Providence Regional Medical Center - Pacific Campus 916 Pacific Avenue, Everett WA 98201 <br />Owner <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Fe td 1�01� 1 tZ 6' I I`�U f I�. � tY�l S�'r.t/`�" <br />Tenant Mail Address City State/Zip Phone <br />VECA Electric <br />Electrical Contractor <br />VECAECI542MU <br />State License Number <br />PO BOX 80467 <br />Mail Address <br />Seattle <br />City <br />wA 9sioa <br />State/Zip <br />26,600.00 <br />Contract Price of Work <br />206-436-5200 <br />Phone <br />Medical Center Nancy Dumont <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Selective remodel of tenant space. Systems included, power, lighting and'�r� ^�!�,� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACE=WAYS, MC OR AC CABLE. <br />CITY OF EVERETT Li�CAL 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. A/l provisions of laws and ordinances governin� this type of work will be completed <br />whether spec�fied here�in or not. The granting of a permit does not presume fo give author�ty to <br />violate or cancel fhe provisions of any other state or local law regu�ating construction or the <br />performance of constn�cf�on. That I am aufhorized by the owner of this property to perform the <br />work for which applica tion is made and I comp/y with the Stafe Contractors Law 18.27 RCW and <br />296.200 WAG <br />_ %: <br />i ;, <br />-' , � i � /�� <br />�: � � � - - (�-� <br />% Sig ture Date <br />�, <br />FEE <br />4��(?(� <br />�13��-I�(� <br />