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tiUG;I]I/'L�1%/?UE �i��' dl F': :n:{ . .. .. 001/��lil' <br /> ELECTR�CAL PERfJ11T APPLICATIO�1 <br /> CITY OF EVERETT PERMI7 SERVICES g_i3 -�2 <br /> 3200 CEDAR STREET, GVERETi', WA 98201 E�Zp g-03� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1700 13TH STREET — ,��„rii� ��� 1 h�. � �U 1�' <br /> PROJtCT ADDRESS <br /> PROVIDEb10E MEpICAL CENTER, 1700 13^1H STREET, EVERETT, WA <br /> Owngr PdailAtldress Clry Slete/Zlp Phono <br /> YROVIDENCE MEDICAL C�NTER, 1700 13TH STREE^, EVERE'PT, F7A <br /> Te�2nt . Pdail Address CIN Stete2ip Phone <br /> VECA Electric po soY. SOa6� Seattle wA 98108 206-536-5200 <br /> Electrical Contrector Mal Address Cliy � Stete/zip Phone <br /> V�C�ECT542M0 �9' �25 <br /> State Llcense Nuinber Contract Price of Work <br />' MEDICAL OFFICE �BDILDTNG MARK 300HER <br /> Proposed Use oi Buildind Conlact Person (PI2n Review) <br /> Desc�plionofWorktoBeDone: FURNISH AND INSTALL (2) 4-PLEX "_20V 20P.hi� RECEPTACLc$ <br /> ( _) SINGLE DUPLEY 120V 20AhSP RECEPTACLES, (1) WALL SWITCH <br /> _ 1'L) LIGH^i FIXTL'RES A[dD (2) VOICE/DATA OUTIETS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRE�TO FEE <br /> BE IN RACEVVAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 !. <br /> � <br /> CJ, -'C' <br /> I he.eby certify lh�f I hove read and examined this applicatron and know tho samo to ba Vuo and L� '� " �� � <br /> eonecl. All provisio�s o(laws ond erdinances govemm, this type of work wjll be con7p/BtBd <br /> whether speaheU herein ornoL 7he(Jrantinp o7o perm�t does nof presume to give authority to <br /> violato or canco!!ho p�ovisions of any other state orlocal la�v regulaGng construr.tron or fho <br /> porlomianco 01 construction. That!am authon<etl by(he owner Nthis propeny fo pedon-�the <br /> work for which application rs mado and l compty with Ihe Siate Caltracto�s LaV� 78.27 RCW end <br /> 296.200 WAC. <br /> � v � � 2 <br /> 5�.;��„i rc Data <br />