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11/28/2016 MON 12: 33 FAX 360 805 0287 MILNE ELECTRIC VJ007/007 <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 /> 3003 W Casino Road, Everett, WA * w <br /> PROJECT ADDRESS <br /> Boeing Company PO Box 3707 Seattle WA 98124 <br /> Owner Mail Address City State/Zip Phone <br /> Same <br /> Tenant Mali Address City State/Zip Phone <br /> Milne Electric Inc. 14582 172nd Dr SE,#1 Monroe WA 98272 360-863-9617 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> MILNE3I101 PN 031702 <br /> State license Number(required) City of Everett Business License Number(required) <br /> Aircraft Manufacturing $5,057,00 <br /> Proposed Use of Building Contract Price of Work <br /> N/A Dave Banks (206-265-6333) <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> N/A <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: install new home run to existing panel, install new 4sq box at bottom of equipment rack and make <br /> connection to rack mounted UPS in bidq 40-88. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> /hereby certify that l 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 PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the g <br /> performance of construction. That l am authorized by the owner of this property to perform the E IV <br /> work for which application is made and l comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC. <br /> 114aVg1'e M 11/28/16 <br /> Signature Date <br /> REwsca os1oarzor4 <br />