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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96207 <br /> 425•257•8810 • FAX 425-257•8857 -www.everettwa org <br /> 3003 �Vcsl Casino Rd. <br /> PROJECT ADDRESS <br /> I3acing PO Box 3707 MS I P 09 Scaulc NA')8124 425g7(i2594 <br /> OwnBf Ma�lAdAress Cily alale/L0 Phone <br /> HOCIfI�! <br /> TenaN 1AaAACdress City StatelZip Phone <br /> Primc lilcctric, Inc. 13101 SE 2bih E3cllcwc WA 9K005 425-7q7-5200 <br /> EledricalConlrador hlailAddress Ciry Slale2lp Phone <br /> primcci I 3461 979.097•00 <br /> Stale License Numbei Contract Pnce of Work <br /> Mcdical Clinic Mark \Vithcrbcc <br /> Proposed Use of Buildmg Contad Person (Plan Review) <br /> 23.400 <br /> SQuare Footage QI residentlal new cor,siruction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Descript�on ot wark �o Be Done: [�40-4?I Glectrical build-ow lor medical cliuic rcloca�ion <br /> FEE <br /> CITY OF EVERETT LOCAL SAlES TAX CODE IS J105 �p�-7p � /1 <br /> 0 O v <br /> I here6Y certity fhaf 1 have reod nnd exammed fhis npplrcafion mid know tha same lo be fnie and <br /> correcL All provisions ollaws and ordinances goveming flris type o/work will Ae completed <br /> whelher speci/eA hcrem or not. The grenfing o/a pormif does nof piesume fo givo aufhonty fo pERMff# <br /> violafe or cancel fhr,p/ovisrons ol eny ofher xfefe or Iceal low regulatin�consfmclion nr Ihe <br /> pedomiance ol cor n�cNon. Thal I am authonzed hy fhe ownei ol Uris propeAy fo pe.donn fhe E ��Q 5_ ��9 <br /> work lar which a �cofion � m e n 1 comply with fhe Stafe Contracrors Lnw 1811 RCW nnd <br /> 296100 WAC. <br /> S � � <br /> Da�e <br /> HEV6E�3RVi] <br />