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� - - - -� - -- �_ _- - - <br /> ELECTRICAL PERMIT APPLICA fION <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 /> c�=/yio-�3 a <br /> io_�� -��/ <br /> 30031V Caslnn koad. F.verrtl. 1VA 9A204 <br /> PROJECT ADDRESS <br /> [iuein F�t Fxnlity 3003 \Vest Casino Road Iiverett �VA 9R203 (206)949-Oi 14� <br /> Owner MailAaaress Gty sta�e2�o rnone <br /> tiame as Otvncr <br /> fenant MadnaAress C��ly SlateiZ�p Phove <br /> sitc 206-68a.3469 <br /> VECA Llectric 5514 - 7th Ave S Ev_ereti__ �VA 98108 ofhce:360-594-4302 <br /> Electncal Conlractor MaJ Aderess Gnr ;tatelLp Pnane <br /> V 1.c'A G(:1542�`IU 331 S,OOO.OQ <br /> State License Number Contract Pnce ot Work <br /> Manufaiturin� _ AI «'ool((Sazanl (206)267-1700 <br /> Proposed Usc ol Dudd�ng Conta:l Person (Plan Rev�ew) <br /> N/A _ _ — <br /> Squarc Footagc(I�res�deruai new r.on5iruct�on,�emodei or atldAion) <br /> N(A <br /> Numbe�nf Aevices(II low voltage) <br /> DescnOtion of Work to Ae Done �1�cmD(.IIiIIer an� Chiller intL�lla�ion 40-N6 [luildin� . ____ . __ _____ . <br /> FEE '�Jf (O�'� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br /> 53,629.99 <br /> I hereby certdy fbat I hnve�ead.rnd exammed Rr�s appLrahon dn[J Mrrnw Ihe samn fo be bUe dnA , _ <br /> cnnecl All prirv���ons ol laws and ord�nancrt gnvernmq fhis ty0e ol�SOA uall he tomplMed -- <br /> whellrer specdied/re�ern or nol The qranhnq ol a prnnd does not presumC N qrve auffronfl'fo PERMR# <br /> vroldfe or cancel fhr pronvons nl dny ofhrr slafe or local law reguldfurg consfruchon pr Ihe <br /> pedonnance o/consfnichon Th,f I am aulhon7ed by(he ownrr o!Ihis prnperfy fo pedomi Ihe E ��{ � o _ ,3 a <br /> wo'k lo�which appl�taGon is maAe and 1 comply wrth fhe Sfafe Conhaclors Law 18 27 HCW and <br /> 296 200 WAC <br /> �D/2 //l y <br /> —� a,w� oa�� <br /> A(v�SEJ JPO�i.i <br />