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09105/2013 11:e7 2062911� <br />SIMPLEXGRINNELL <br />� <br />ELEC�"��C,AL PERMIT APPL�NCAT�O� <br />CITY O� EVER�TT PERMIT SERVI�C;:�S <br />3200 CEDAR STR��T, EV�R�TT, W,� 98201 <br />425�257�881 �� FAX �425-257-885i — www.everettw a,org <br />AFPI.fCiqT10NS ARE ACCEP7'�D FROM 8 AM TO a h'M <br />97.6 J?dCific F1vc - Pacific Ult.r.a�o�and <br />PROJECT ADDRESS <br />Providence Gen Med Ctr, PO Dox 1a67, �verett, WA 98206-1067 9;�5-258--7812 <br />Owner <br />Mall /lddress <br />Clty <br />St9te/7.ip <br />Phone <br />Paci_fi_c U].r�asound._916 P�cifia Ave, E1�erett W11 982�1 <br />-- - _..,,� <br />7onant Meii Adtlregs City 5tate/Zip Phonc <br />�7ECA �1ect.ric, 5611 7th Ave South, Seat1_l,e tn)A 981,08-26!14 206-�:�7�3-6895 <br />Electrfcal Contractor Mal! Addrass City StatelZip <br />VEC71EC1542MU <br />State License Number � <br />Mcclica]_ $l.dg. <br />Proposed Use of Building <br />Phone <br />;3279.00 <br />Contract Price of Work <br />Simp. exGr�.nne.l7.lJanet 5•L•ebbins <br />206--�:91-1968 nERMTT <br />Contac� Person (plan Reulew) <br />DescriptionofWorktoSeDone: 11dd (8J devi.ces to existin fire alarm ;:ystem. <br />Join.t ven.'I�ure hetween VEC� E�J.ectric ( in:- I;;�.11 ) and <br />S�.mplexGrinncl�.(de�ian, matcrials, prO��.ram t�st . <br />NOTE: WIRING IN NON-DW��.�INGS IS REQUIRED TO <br />BE IN RAC�VVp,YS, MC OR AC CA�LE. <br />CITX OF EVER�TT I,OCAL SALES ?AX COD� IS 3906 <br />F� ��.,� --. <br />i �� � ,� <br />l horo4y cerfUy tHat I have read and exami»Qd this appllcaflon and know the same fo bm true and � Y ?� <br />cor�cl. All provis�o»s of Isws and ordinances goveming this fype o�' work will ba completed ��`� ��r ,����} <br />whether speclffed herein or not. The granfing of a pormrf does notp rosume to give authority io <br />perid rmancenof cons�c tion�nThat ! amtauif oflzed by the owne�of thisprope�ty to perTorm the <br />work for which applicatlon is made and / comp/y wi#h the State Contraclors ! aw 98.27 RCW and <br />29fi.200 WAC. <br />�?�� _ 09/05 <br />