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0 0 <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.gov <br /> 4027-4th St SE, Everett, WA 98201 <br /> PROJECT ADDRESS <br /> City of Everett- PO Box 12130, Everett, WA 98201 -425-257-8846 <br /> Owner Mail Address City State/Zip Phone <br /> Water Pollution Control Facility -4027 -4th St SE., Everett, WA 98201 -425-257-8232 <br /> Tenant Mail Address City State/Zip Phone <br /> D. K Systems, Inc. - PO Box 886, Burlington, WA 98233- 360-755-1555/Darron 360-770-0950 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> DKSYSI"987M6 049744 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Business $ 1,000 <br /> Proposed Use of Building Contract Price of Work <br /> Darron Drake - 360-770-0950 <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> darron@dksystemsinc.com - or- <br /> tami@dksystemsinc.com <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Disconnect & Reconnect"Like for Like" Boiler <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 qC5 O <br /> /hereby certify that/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 1 1 <br /> performance of construction. That/am authorized by the owner of this property to perform the t ` r <br /> work for which applic tion is made 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> b, 09/19/2016 <br /> i nature Date <br /> REVISED 08/00/2014 <br />