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ELECTRICAL PERI'�IIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everetriva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1510 SE Everett Mall Wa <br />PROJECT ADDRESS <br />Seadfast Comm Properlies 15'I O SE Everett Mall �Nay <br />Ov.ner <br />Seadfast Comm Pro <br />Tenant <br />Mad Address <br />r,tan nadress <br />Everett <br />C�ry <br />c�ry <br />TYCOINTEGftATEDSECURIIY_LC 11824NORTHCR[EKPKWYN BOTHELL, <br />Eiectncal ContraCor P:ta�l Atldress <br />TYCOIIS88600 <br />State License tJumber <br />Commercial <br />Proposed Use of Builtling <br />Oescnption of Work to Be Done�. <br />Delete wired in conneclion to the customers panel. <br />PJOTE WIRING IN �ION-DWELLIIVGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br />c�ry <br />98208 <br />Slate/Zip <br />S1at�JZip <br />WA 98011 <br />State2ip <br />$294.00 <br />Con�rad Price o� Work <br />azs•zs�-zan <br />Phonc <br />Phone <br />206-774-9499 <br />Phone <br />jennifer@nwpermit.com <br />Contact Person (Plan Rewew) <br />I hereby certil}• lhat I have read and e.vammed lhis application and kno�v the sarne (o be Vue and <br />carect. Alr prov�sions o//atvs and ordinances goverrong fhis type 01 work wdl be complefed <br />whe�her specdied herem or noL 7he gran6ng ol a permR does not presume to give autncr,ry 10 <br />v�olate w canccl tfie prov�s�ons ol any o(ner state or locallaw reg�lahng consVuctron o� the <br />pe�lormance ol construction Thaf / am auU�orized by !he o�vner oI this property to perlam fhe <br />ivah lor wh�ch appOwt�oq �s maUe and I compry rnth 1he Sfate ConVactors La�v 12.27 RCW antl <br />296 200 WAC. . <br />Jennifer Burgess , ,���� ��� „�� "`�""" 11/07/2013 <br />S�gna W rc Date <br />FEE <br />5► 3Z <br />E1311-0�3 <br />