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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.gov <br />906 Everett Mall Way, Everett, WA 98201 <br />PROJECT ADDRESS <br />Pflueger - Everett Holdings LLC C/O Colliers Int. 601 Union St. #5300, Seattle, WA 98101 / 206-515-4494 <br />Owner <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Express Employment - 906 Everett Mall Way, Everett, WA 98201 <br />Tenant Mail Address City State/Zip Phone <br />D. K Systems, Inc. - PO Box 886, Burlington, WA 98233 - 360-755-1555 <br />EleCtriCal ContraCtor Mail Address City State/Zip Phone <br />DKSYSI*987M6 <br />State License Number (required) <br />Business <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />4- Control Sensors <br />Number of devices (If low voltage) <br />�- d� Sb�k <br />City of Everett Business License Number (required) <br />$ 1,000 <br />Contract Price of Work <br />John Bateman - 360-770-5409 <br />Contact Person/Contact Number/Email <br />johnb@dksystemsinc.com - or - <br />ta m i@ d ksyste m s i n c. co m <br />Description of work to Be Done: 4- Control Sensors and 1- Exhaust Fan <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 frue 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 />performa ce of construction. That I am authorized by the owner of this property to perform fhe <br />work for w ich applicatior�s made a�rj d I comply with fhe State Contractors Law 18.27 RCW and <br />296.200 W C. <br />� <br />� �l�— <br />Signature <br />REVISED 08/O6/2014 <br />04/14/2016 <br />FEE <br />��Z�.� <br />PERMIT# <br />E ���Iy A� <br />