Laserfiche WebLink
SERVICE ELECTRIC Fax;360-568-919Aq Sep 3 2015 12:06pm P001/001 <br /> i <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 /> REVISED VALUE* <br /> Associated Blvd & Merrill Creek Parkway <br /> PROJECT ADDRESS 1 <br /> Cemex Construction Materials Pacific, LLC Lynnwood, WA <br /> Owner Mail Address city stete/Zip Phone <br /> New Construction <br /> Tenant Mail Address City State/Zip Phorre i <br /> Service Electric Co., Inc. P.O. Box 1489, Snohomish,WA 98291 360-568-6966 Ext#201 ` <br /> i <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SERVIEC564RU 029064 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 6;950.00 <br /> Contract Price of Work <br /> Proposed its®of Building , <br /> Sharon Card 360-568-6966 Ext#201 j <br /> sharon@secoinc.com <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> k <br /> i <br /> Number of devices(If low voltage) <br /> Install (4) New Cobra Heads on Existing Light Poles, Install New Wire Inside Existing <br /> Description of Work to Be Done: <br /> Underground Conduits and Existing Light Poles, Install Handhole Covers on Light Poles. <br /> I <br /> ; <br /> FEE I <br /> CITY'OF EVERF-Tr LOCAL SALES TAX CODE IS 3105 2� <br /> I hereby certify that I have read and examined th/s application andknow 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 l C <br /> performance of construction. That I am authorized by the owner of this property to perform the. (r/1 <br /> work for,which application is made and I comply with the State Contractors Law 16,27 RCW and <br /> zs6.2 <br /> 9-02-15 <br /> I <br /> Signature Date <br /> I <br /> Please call for Credit Card. Information <br /> REW5E.D 0"612014 . <br />