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• <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.gov <br />2811 Oakes Ave., Everett, WA 98201 <br />PROJECT ADDRESS <br />City of Everett - 3101 Cedar Street, Everett, WA 98201 - 425 257 8846 <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />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 049744 <br />State License Number (required) City of Everett Business License Number (required) <br />i�T <br />Warehouse Conversion 8-- %�: �� �' <br />� � <br />Proposed Use of Building Contract Price of Work <br />Square Footage (If residential new construction, remodel or addition) <br />Control systems � � <br />Number of devices (If low voltage) <br />Description of Work to Be Done: Control Systems <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Darron Drake - 360-770-0950 <br />Contact Person/Contact NumbeNEmail <br />darron@dksystemsi nc. com <br />I 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 <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 sfate 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 I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />� / i ,... <br />r /� ' / \_. <br />Signature <br />REVISED 08/Ofi/2014 <br />FEE „�j � � �)�� <br />�!-� L� � <br />_..� <br />O <br />PERMIT# <br />E iSf�-��� <br />