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AMC <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 /> 1700 13th Street <br /> PROJECT ADDRESS <br /> Providence Regional Medical Center-Colby Campus 1700 13th Street, Everett WA 98201 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> VECA Electric PO BOX 80467 Seattle WA 98108 206-436-5200 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> VECAECI542MU $ 2,500 <br /> State License Number Contract Price of Work <br /> Parking Garage at Medical Office building <br /> Proposed Use of Building Contact Per on (Plan Review) <br /> Description of work to Be Done: 812576-878 Power for new parking garage pay booth <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <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 i �r whether specified herein or not. The granting of a permit does not presume to give authority to ( lJ 14 ) <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 l comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> A'O 6hk <br /> [tel" <br /> Si n ture Date <br />