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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PE�2MIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8870 - FAX425-257-8857-www.everettwa.org Q�- a-�'�-tis <br /> G—►5o7-161 <br /> 900 Pacific Avenue Everett WA <br /> PROJECT ADDRESS <br /> PRMCE 900 Pacific Avenue Everett WA 98201 425-258-7550 <br /> Owner Mail Atltlress City SiatelZip Phone <br /> PRMCE 900 Pacific Avenue Everett WA 98201 425-258-7550 <br /> Tenanl �1ail Atldress City Stale2ip Phone <br /> VECA Electric PO Box 80467 Seattie WA 98108 206-353-9842 <br /> Electrical Conlractor Mail Address City Slate/Zip Phone <br /> 4,80�.a� <br /> State License Number CoMract Price of Work <br /> Medical Office Building �lan� ni,mnnt <br /> Proposed Use of 6udding Contact Person (Plan Review) <br /> 120 <br /> Square Footage pf resldential new consiruclion, remodel or addition) <br /> � Numher of devices(If low voltage) <br /> � Replace existing mammography equipment with new Job J�815492-863 <br /> Description of Wark to Be Oone�. <br /> FEE <br /> CIiY OF EVERETT LOCAL SALES TAl(CODE IS J105 �7 IMIIA ��f <br /> V ly <br /> 1 here6y cedily llref I have reed and examined this eppUcafion and know fhe semc fo bc tnic nnd <br /> conecf. /11l pmvisions ollaws and ortJinanr.es goveming fhis type ol work will be complefeA �----- <br /> whnfhor speci(ed hervin or noL Tho granting of a pemiil does nof pm,sume to give aulhonty fo PERMi1�# <br /> violalr,or cancel the pmvisions o/any olher sfale or Inr,nl law mgulaNn9 rnrstniclion or the r (,l^��� � � � <br /> peAonnance ol consWction. Thal l am aulhorized by Ihe owner c(!bis pmper7y fo pr.Aonnlhe t V� <br /> work lor which application is made and 1 comply wilh fhc Sfafr, Con6acfors Law 78.27 RCW�nd � <br /> 296.200 WAC. � <br /> YVV��X/1 ►' W/VW 1 4JI /N� J �� 1r/ ---- <br /> ISiynaWre uatc —���— <br /> I <br /> � PlVIl�Pl?N�.I <br />