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O;t ;u�2uta it �6 �•M Pinne Elecui: a25 :60.a669 �l•4 <br /> � � 21y 395� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810 - FAit 425-257-8857-www.everedwa.org jQ �3�—�� <br /> Gl�f��— � S <br /> 3003 West Casino Road �� I�d�s� � /�'� <br /> PROJECTADDRESS <br /> The Boeing Company P .O. Eiox 3707 Seattle Wa 3R1 ?_4 <br /> Ownet MellAaoress Ciry Sla�elZip Phone <br /> TOnaN Mall Adarecs C�ly Sisla2ip P�one <br /> Prime Elec[ric 13301 SE 26th St 3ell�vue 'Aa 98005 925-747-5200 <br /> Elechieel Contrador Meil Addra�v Gty SbteZp Pnone <br /> PRIMEcI134BT 019946 <br /> Stela L�censa Numbar(requirod) Cdy ol Evarotl Businese L�consa Number(reqwretl) <br /> M.o.�t�.5a�c.s�..P.iiJG _ '�/D,S1s� <br /> Prop�ose Use ot duilding ContreCt Price ol Wark <br /> �/R ��/�RAF ��_ �c.� <br /> Square Foolago pl ros ential new construct�on,remotlel m addrtioo) Gontact PersaMConiacl Num6eNEmail <br /> I Number of�v�s(II low vaitage) <br /> Descnppon a/Work�o Bc�one. �vsrlQ�� alI oSA�F� • ��G�'�i� - A�D 3� <br /> _L�iZ4�J�GJ� �iRua/!- 'l�l ��L.oA�'�P.�E�.tIE.P <br /> FEE <br /> ' CITV OF EVEREi�f LOCAL SALES 7AX CODE IS J705 ��_ J O <br /> I hereby coAily fhef I heve read end examinea fhis opplicahon an0 know Ino samo to ba truo and <br /> conect All provisions ollaws enA ord�nancas govnrning fhis typo ol work wrll be romplefed <br /> whothar spec�od�oroln or nof. The grenting ol a permrt does nof prosumo fo 9iva aufh,onty fo 7FRMff# <br /> violate or cencol tho provisions ol eny ofAor sfetc orlocel few reguleting cronshuction o�fhe 7 <br /> peAormance o(construcbon. ihat I am authonrod by the awner o/(his pmnerty fo perlorm fhe E � (.f- � D — �i� <br /> work lorwlrich applical- n is made and I romply wrth Ne SYek Conbatfors Law 18.27 RCW end <br /> 196.200 WAC. <br /> �� � � <br /> S�gnaWre D �e <br /> I /+EVISE006tl640i� -_- <br />