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ELECTRICA�_ PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200CEDAR STREET, EVERETT. WA98201 <br /> 425-257-8810 • FAX42b-257-8857—wv�nr�,everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PM <br /> 3003 W Casino RD <br /> PROJECT AODRESS <br /> Boeing 45-714 3003 W Casino RD Everett 98124 az�-3�zi��s <br /> Owner Mao AdOress C�ry StatUZ�D phonc <br /> Tfna�l �AadAdtlress Qb StatelZiO Phone <br /> � irW iviCGHniroSEcuwitruc 11824 NORTHCREEK PKWY N gpTHELL, WA 98011 206•7i4-9499 � <br /> EieCtnCalCont�attor Ma�lA�dress Ory State/Z�p Pnme <br /> TYCOI IS88600 $500.00 , <br /> State L�cense�lumber Contract PnCe of Wor4. <br /> Commercial jennifer@nwpermit.com <br /> Proposetl Use of Bwlding Contact Person IPlan Review) <br /> Descriphon af Work to E3P �one --.-----_.-----_-----`— <br /> Scope o( work is to install a fire alami panel. <br /> NOT� WIRING I�J tJON•DWEI I II1GS IS EEOUI�?FD IO FEE <br /> �F IN RAC,'FWAYS. MC OF: AC CAE�LF <br /> �7. 5� I <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 ' <br /> I he�eby cP�tAV Ihat I have iead and eaammBd fhiS dpplrcdtrOn and FnOw fhC SdmP(o h2 l�ue and <br /> carect All piov�sions ol laws and o�Jmances governmg tnis ppe ol wo�N wdlOr cumpieted � 9 <br /> wnether specdiea herem o�not �he granhny W a pe�mR tloes not p•Psume 10 groe autho�?1�to � ( J� f � d� I <br /> vnVJ(e a cencel the prov�sions ol any of6P� slale or loCal law/CJula6ng consbuctron o�(ne <br /> pnlurmance ol consUuct�on 7haf I am autnorr:etl Oy fhe ownei o11hr5 p�operly fo pe�lorm M[+ I <br /> waA lor wnrch apphcafron i, matle arrd I compl� wRh Ihe State Conhacto�s(aK� f17 27 RCL1'arrd �� <br /> :96.'OG IVAC <br /> JenniferBurgess . ,- , . . ... - . •._.� <br /> .,iqnalure .atc � <br /> � <br />