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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 />1520 80th St. SW Bldg A, Everett, WA 98203 <br />PROJECT ADDRESS <br />Valence Surface Technologies 128 W 154th St. Gardena CA 90248 323-770-0240 <br />Owner Mail Address City State/Zip Phone <br />Blue Streak 1520 80th St SW Bldg A Everett Washington 98203 (425) 347-1944 <br />Tenant Mail Address City State/Zip Phone <br />Precision Industries LLC DBA Freedom Electric 48065 NW Narup Rd Banks OR 97106 503-953-5399 <br />Electrical Contractor Mail Address City State/Zip Phone <br />603 268 367 <br />State License Number (required) <br />MFG/FINISHING <br />Proposed Use of Building <br />NA <br />Square Footage (If residential new construction, remodel or addition) <br />NA <br />Number of devices (If low voltage) <br />Description of Work to Be Done: Field wire one batch oven. Feeders by other. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />NEW - Receipt #205866 <br />City of Everett Business License Number (required) <br />$4500 <br />Contract Price of Work <br />Royal Stearns 503-953-5399 <br />Contact Person/Contact Number/Email <br />I 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 provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WA C. <br />4/ 13/2015 <br />FEE <br />-7 / 50 <br />PERMIT# <br />EI50Lf-06 <br />REVISED 0810612014 <br />