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ELECTRICAL PERMIT APPLICATION � �Q _ o� <br /> CITY OF EVERETT PERMIT SERVICES .� " <br /> 3200 CEDAR STREET, EVERETT,WA 98201 �Q g0 3—�7 <br /> 425-257•881 G-FN(425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> IQ{� �A Vs= S o <br /> 12BIX� 8e�he!-Eveaatt_�l ,wy <br /> PROJECT ADDRESS <br /> PEMC 1321 Ca/by Avenue Everett, WA 9B201 425.15B.7B54 <br /> Owner Mail Address City SlatelZip Phone <br /> PEMC Mill Creek - X-Ray <br /> Tenant Mail Address City Stale/Zip Phone <br /> Rodgers E/ectric 1611 E Marine View Dr Evereff, WA 9B201 425.252.2107 <br /> Electrical Contraclor Mail Address City State/Zip Phone <br /> RODGEEC232PA $ 13,0010.P!1 <br /> State License Number Conlracl Price of Work <br /> PEMC Mill Creek - X-Ray Jeff O/sen, Rodgers E/ectric <br /> Proposed Use of Building Contact Person(Plan Review) <br /> Descripfon oi Work to Be Done: Rep/ace Exisfing X-Ray Equipment with New Unif. <br /> Modificotians to Feeder, Power, Lighting, LV, efc. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. .$ 44Jr.O0 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 Rereby certily fhat 1 havs read and examined fhis applica6on antl kno�v fhe same to be frue and <br /> conecf. All prnvisions of la�rs and ord�nances goveming this rype al ivork�vill be complefed <br /> �rhafher specilied herein or not 7he granfing ol a pemiif does nof presume fo gfve authonty fo <br /> violate or cancel the provisions ol eny other sfate or local la�v�eguiafing construcfion or fhe <br /> pedormance o!construcfion. That I am aufhorized by Gie oroner olfhis property to pedomi fhv <br /> �vodc lor�vhich applicafion is maAe and I comply irifh fhe State Coniracfors La�v 1827 RCW and � �UO � . �!t � <br /> 296.200 W.4C. � <br /> �t����. <br /> ' �1,.. . ` Itnd�;cn t:lccb'ia 1'n..bm. <br /> �\ �� � ���V . . <br /> _ :� � ��,.".,,,�,,..,,,.,,�,,,... <br /> I Jeffery Olsen 3.19.8 Job: 4266 <br />