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E�EC�RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 6 .-0(,�,_.JC� <br /> 425-257-£3810 - FAX 425-257-6857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � /��y��d� <br /> 1700 13TH STRGET <br /> PROJECT ADDRESS <br /> PkOVIDENCE NEDICAL CENTER, 1�00 13TH STREE'P, EVL•'RETT, WA <br /> Ownef Mail Atldress City Stale2ip Phone <br /> PROVIDENCE MEDICAL CENTER, 1700 13TH STREET, EVERGTT, WA <br /> Tenant Mail Address City Slaie2ip Phone <br /> VECA Electric PO OOX 80967 ;ea[tle �•�A 9810R 20G-43fi-5200 <br /> ElectricalContraclot MailAddmss City SlatelZip Phone <br /> VF,CAECI542t�fU J`�t��� <br /> Stale License Number ConVact Price o(Work <br /> HOSPITAL NAhCY DUMONT <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> DescriptionofWorktoBeDone: 'PENANT IMPROVMGNT OF NUCL6AP. MGDICING DGPARTMENT <br /> INCi.,UDING INST'ALL TION OF A �EW I.�INAC MAC II�E . <br /> ��Q Cl�P tYl �1 � C C.��t ��� p,[�Vl� '(_�Q.C._�(�_��—Q�LYl1��1�-C�a .CGYVi <br /> � I � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE �� <br /> BE IN RnCEWAYS, MC OR AC CABLE ��� ,\ — <br /> V <br /> CITY OF EVERETT LOCAL SALES TN( CODE IS 3�05 r <br /> I hereby certily fhat 1 have read and examined fhis applicalion and know fhe same fo he fiue and �� �"Q L� — � �p <br /> conec(. All provisions ollaws and ordinances governing Ihis type o/woik will 6o conrplefed ( <br /> whefher speci(ed herein or noL The granting ol a permd docs not resume to give aulhority fo <br /> violafe or cancel Ihe provisions olany ofher sfate or local lav�reyuPfing constn�cfion or the <br /> peAormance oI cons(ruc6on. That I am aulhonzed by fhe owner o!fhis properly to perlorm(he <br /> work/or which application is made and I comply with the State Contractors Law 1�.27 RCW and <br /> 296200 WAC <br /> r �v�.,� �� ZQ- ►� <br /> ,lure Dale <br />