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� <br />• � p���� ��c� Z�0 � <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 />100U SE Everett Mall Way, Everett, WA 98208 <br />PROJECT ADDRESS <br />CITY UNIVERSITY 11900 NE FIRST ST. BELLEVUE WA 98005 425-709-5350 <br />Owner <br />Mail Address <br />City <br />CITY UNIVERSITY 11900 NE FIRST ST. BELLEVUE WA 98005 425-709-5350 <br />Tenant <br />Mail Address <br />City <br />HOLMES ELECTRIC 600 WASHINGTON AVENUE SOUTH, KENT, WA 98032 253-479-4000 <br />Electrical Contractor Mail Address <br />HOLMEEC5496H <br />State License Number (required) <br />EDUCATION <br />Proposed Use of Building <br />2,000 <br />Square Footage (If residential new construction, remodel or addition) <br />74 <br />Number of devices (If low voltage) <br />City <br />State/Zip <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />Phone <br />009394 <br />City of Everett Business License Number (required) <br />$29,693.00 <br />Contract Price of Work <br />INGRID MILLER 206-251-6578 <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: PROVIDE AND INSTALL (2) CAT 6 TO (15) LOCATIONS, (1 a CAT 6 TO (21) WAP LOCATIONS <br />(1) 25-PAIR AMPHENOL WHIP M-F. TERM TEST AND LABEL. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify fhat I have read and examined this application and know fhe same to be true and <br />correct. All provisions of laws and ordinances governing this fype of work will be comp/eted <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cance/ the provisions of any ofher state or local law regulating construction or the <br />pertormance of construction. That 1 am authorized by fhe owner of this property to perform the <br />work for which application is made and 1 comply with the Sfate Contracfors Law 18.27 RCW and <br />2�6.200 WAC� � <br />� <br />� a f p i; <br />'i E�.; � �" ��___� � �� � b �I �,� N�- �✓ <br />�i d <br />Date <br />REVISED 08/O6/2014 <br />FEE � � <br />�'/ �j .�' <br />PERMIT# <br />E�� ,� � � � � � ��� <br />