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JAN/06/2014/MON 02: 53 PM FAX No, P, 001 <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 /> 12800 Bothell Everett Highway <br /> PROJECT ADDRESS • <br /> Providence 12800 Bothell Everett Highway Everett 206-320-2744 <br /> Owner Mall Address City State/Zip Phone <br /> Providence 12800 Bothell Everett Highway Everett 206-320-2744 <br /> Tenant Mall 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 /> VECAECI542Mv $1,500 <br /> State License Number • Contract Price of Work <br /> Nancy Dumont <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Relocate (1) duplex receptacle, (3) fourplex receptacles and (1) <br /> Description of Work to Be Done: fire alarm strobe to new wall <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 /> I hereby certify that I have read and examined this application and know the same to be true and E 1401 - ©30- <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 /> 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 I�I <br /> Signat ( Date <br />