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SERVICE ELECTRIC Fax:360-568-929� Aug 7 2015 09:28am P001/001 <br /> � <br /> El�ECTRICAL �ERMiT APPL1CpTlON <br /> CIT1F OF EVERETT PERMIT SERVICES <br /> 32QO CEDAR STREET, EVERETT, WA 98209 <br /> 425-257'-88�0 - FAX 425-257-8857—www.everettwa.gov <br /> ��'�'�f�G� ���" �� ��� S�-. <br /> 7���v ,� CF 4 G rott lA/4 Q4'» <br /> . -� vncrv�i cv��9�eo .. � <br /> p{ZOJECT ADDRESS � <br /> �Z�t� <br /> Port Ofi Everett �958�Crai#smaii Way, 8uite#200, Everett, WA 9820'i 425-3oo-b612 <br /> Owner Mail Addrass C3ry StatelZip. Phone <br /> Same- Central Marina Improvem�nts Ph#�2 <br /> Teraant Mail Address Ciry . Siate/Gip Phone <br /> Service Electric Co., Inc. P.O. Box 1409, .Snohomish, WA 9^029`9 36�-568-6966 �xt#201 <br /> �lectrical ContY'dCtor Mail Address C;ty $tate✓�'ip Phone <br /> SERVIEC564RU � 0��a�� I <br /> State Licens�Number(r�quired) City of Everett�usiness License Numb2r�r�quired) <br /> � Altering Existing Structures & Dock 4���t00 n� <br /> - Proposed Use of Building Contract Price of Wof'k <br /> ��A Sh�ron Cat-d - sharon@s�coinc.com <br /> Square Faotage(If residsntial new construction, rerr�odel or addition) COntact Persori/ConxaGt Number/Erriail <br /> � <br /> (V/A <br /> NUmber of devices Qf low voftafle) <br /> �(;�-c;�-,�,,� <br /> Desc�iptiorn ot Work to ee�ona: Remaclel of Existing Siructur�s & Dock�lectrical Work <br /> FE� <br /> CITY OF�VERE7T LOCAL SALES TAX CO�E IS 3�05 }�(�.��� �r C�"�� <br /> 'E-�' � <br /> I hereby Gel`flfy th$t!have r��d and eXamined this�ppllCation apd know the S2m6 to be frue anC! <br /> correct. All p�ovisfons of laws and ordinances governirtg fhfs rype of wark will be co»�pleted <br /> whsther specifred hersln or not_ 7he grenffng of a permit does nof prssume to give authorify to PERMIT�# � <br /> violate or cance!the provisions of any otj�er stats or loca/l�w r'egulating construcfion or the r f -.���-� V��!�, <br /> perf�rmance of construction. Thaf 1 am authorizcd by the owner of thfs properfv tc3 pe�fom�.#he C ` Lj �P) ��I <br /> work fnr whicf�applicetion Js made and 1 comp%y with fhe State Cot7tl'acfors Law 18.27 RCW and �� <br /> 29�.200 WAC. <br /> , � ��� <br /> 8-07-'15 <br /> S�g�ature Date <br /> R�V1SEoo���a kN te Please call for Credit Card (nformation* ! : <br /> a <br /> �%�;�; ����-���� � �'� I��D� <br />