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h1ar.Z5.2013 ii? 4A P�9 Prinie El�ct/rir 42`-460-4659 1ltE <br /> \ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE'1-T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (,{�3 �1 3 <br /> c►��3--�I <br /> 1113] 6vergreen Way,Lverctt WA <br /> PROJECT ADDRESS <br /> Community Transit 2300 Kasch Park Road Evorett WA,98203 425-438-6172 <br /> OWnar MailAddress City Stale2ip Phona <br /> Community Transit 2300 Kasch Park Road Lverett WA,98203 425-438-6172 <br /> Tenant Mail Address Ciry StatelZip Phone <br /> Prime Electric,Inc. 13301 SE 26th Street Bellevee WA,98005 425-747-5200 <br /> Eledrical CoN�actor Mall Addreas CNy StetdZip Phone <br /> PRIMEEI134IIT 1,000.00 <br /> Stale License Number Contract Price at Work <br /> Tyler Boyer <br /> Proposed Use ef Building Contact Peison (Plan Revlew) <br /> Square Footago Qf residenlial new construction,remodel or addilion) <br /> Description of Work to Be Done: �'✓�are instnlling Community transit pro�•idcd rendcr 6oards(signs)Cor thc Swift Stetions <br /> NOTE: WIRING IN NON DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 50.00 <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br /> I herebY certr7y that I have read and examined lhis appficalion and know lhe same to 6e Vue and <br /> correcl. All p�ovJslons o(laws and ordinences qoveming thrs type of wak will be completed <br /> whether speGfied heiein or not rhe granting of a perm7f does not resume fo give aufhonty to '� "� <br /> violatewcancelthe provlslonso7anyotherstateorlocellawreguPtlngconsWctlonorthe �� � 7L' J �����Jl <br /> perlormance ol construcflon. That I am authorized by fAe owne�of this property to perform tha <br /> work for which plication is ma wilh the Stafe Conhacf�rs Law 18.27 RCW and <br /> 296.200 W . <br /> C ?� Z�� � <br /> ignal Date <br />