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! --- <br /> — • ---- ----�-- ---- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 (;EDAR STREET, EVERETT, WA 9ii201 <br /> 425-257-8810 - FAX 425•257-885/ —www.everettv+a.org <br /> �-iSoy-oo7 <br /> 4-� `�� <br /> 3003 West Casino Road - Bldg 40-90 <br /> PROJECT ADDRESS <br /> The Boeing Company P•O. Box 3707 Seattle, Wa 98124 ! <br /> Owncr Mad ACdress Ciry Slale/Z�p Phone <br /> Tenant MailAtlOress Gry State2ip P�o^o <br /> Prime Electric 13301 SE 26th St Bellevue, Wa 98005 425-797-5200 <br /> Eledncal CoN�ador MaJAddress City StateZo Phone <br /> PRIME�1139BT 019946 <br /> Slale license Number(required) Cdy of Everetl Business Gcense Numher(requued) <br /> 'lest Pacility $85 , 000 <br /> Proposed Use of�uilding Contracl Vrice ol Work <br /> Tom 0 'Hara <br /> toharac�primeelectric . com <br /> Square Footage(11 res�deMial new conslruc6on, remodel or addition) Contacl Pe�sonlContact Numbed[mail <br /> Number of tlevices(If Iow voltage) <br /> DeScnptionofWorktoBeDone� Remove=9 GUA recept�cles 6 breakec� .ind replace wich SOA. _ <br /> Add neutral kito to 24 SateLy Switches. Add 1 - 225A P.1f1C1 6 Eeeder. Add dedic�ted <br /> 30A branch wiriny to receptacles sharing circuit�. <br /> --- FEE -- - <br /> I ` �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��;�LP��o I <br /> l <br /> I hervby ceArly tlrnl l have read and exommed fhis applicafion and know fhe sorne fo 6r. ln�e and ___ _. i <br /> wrrecC Ail provisions o!laws and orclinances govemmg this type o(work wdl bo completr.d --- <br /> whether specdied hercin or not. The gmnfing ol a pe�md daes nof presumc fo grvo auQ�onty to PERMIT# <br /> v/ol�le or cnncel Hie provisions ol nny ufher sfate or local law reguln6ng consfructian or fhe <br /> perlormance o/corislruchon That I am authonzed Ly fhe owner o/this propoRy to peAortn fhe E ��p�� QO� <br /> wark lor which applicafion�s madr. and 1 wrnply wrth Uie Slate Contracfors Law 18.27 RCW and <br /> 296.200 WAC. ' <br /> -��-:%�� .8� 31 �/s <br /> � Signalure Date � <br /> NEvr5EU0606?��� <br />