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woi# 2 z.y <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 11031 19TH AVE S. E . <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> SAFEWAY 11031 19TH AVE S.E. - EVERETT 98201 <br /> Tenant Mail Address City State/Zip Phone <br /> SEA-TAC ELECTRIC, INC 7056 S 220TH ST - KENT, WA 98032 (253) 872-5553 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> SEATAE1077RW 1000 <br /> State License Number Contract Price of Work <br /> COREY MCKINNON <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) ------- <br /> PROVIDE AND INSTALL (1) 120V CIRCUIT FOR AMAZON LOCKER. <br /> Description of Work to Be Done: INCLUDE THE R O ,ATION, REMOVAL AND INSTALLATION OF <br /> MISCELLANEOUS ELECTRICAL SYSTEMS PERTAINING TO THE <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed ` `+ <br /> whether specified herein or not. The granting of a permit does not presume to give authority to <br /> violate or cancel the-Rrovisions of any other state or local law regulating construction or the <br /> perVi <br /> ction. Thaf 1 am authorized by the owner of this property to perform the <br /> workon is made and I comply with the State Contractors Law 18.27RCW and <br /> 296.2 �J 2/22/2016 <br /> Slg4Jture Date <br />