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SERVICE ELECTRIC Fax;360-568-9283 Jun 11 2015 01:49pm P001/001 <br /> • � <br /> ELECT`RICAL PERMIT APP�,ICATION <br /> CfTY OF EVERETT PERMIT S�RVICES <br /> 3200 CEDAR STREET, EVEI�ETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8857 —www_everettwa.org <br /> _ i� - � <br /> _����L�', i.��- ��. i�'���'���fi <br /> _39���i�-�#��t,--��tt;-aAlA- <br /> PRO.lECT ADf�kESS <br /> i <br /> City of Everett 3200 Cedar 5kreet 2nd floor Everett, WA 98201 425-257-8800 _ <br /> Owner Mail Address Ciry Sfate/Zip Phone <br /> Riverfront f�evelopment Sanifary Sewer Lift Station Improvements, COE- Evereft, WA 98201 <br /> Tenant Mail Addrsss City StateiZip Phons <br /> Service Electric Co., Inc. P.O. Sox 1489, Snohomish WA 9829'1 360-568,6966#201 <br /> Elec#�iCal GOntractor Mail Address City Stata/Zlp Phone <br /> SERVIEC564RU 029064 <br /> State License Number(required) City of Everett Bt�siness License NumbBr(required) <br /> Sanitary Sewer Lift Station 5'�A,7�a n� <br /> Proposed Use of Buildir3g Gontract Price of Work � <br /> Sharon Card -sharon r�r secoinc.com <br /> Square Footage(if rssidential new COnstrucEion, remodel or addition) Conta�t PersonlCon#act Number/Email <br /> Number of devscss(If low voltage) <br /> Description of Work to Be Done: Riverfront Lif�Station �I�ctric�l Work_ <br /> being perform�d �t the Riverfront Development Sanitary Sewer !ift Statipn project. <br /> FEE <br /> �� � �� <br /> GITY OF EV�RETT LOCAL SALES TqX CODE IS 3105 �� e�'� ,/ �; ^e <br /> Y l <br /> l hsreby cerfify thaf 1 hav�resd and examined thrs appliCaliOn and know the Same t0 be true and <br /> correct Al!provisions of laws and ordinances goveming lhis type of work w�ll be comp/eted <br /> whether speciFed hsrein or not. The granting of a perml2 doss not presume 2o givs authorify to pERMTT# <br /> viatate or cenCel ths provisions of any other stafe or local law regulating ConS4ructlon or the <br /> periorm�ncs of consfruction. That I am autho�ized by the 4wner of fhis proper#y to perform fhe E I�����^� � I <br /> work for whJch aAPfrestion is made and I comply with thg 5tate Gontractors Law 15.27 RCW and <br /> 296.200 WAC. <br /> �n� ��/ �,� 3 e-�.� <br /> Signatuse Date <br /> R�,senoa�zo+< "NOTE` Per Contract Documents Efectrica( Permit Paid for by Owner. <br /> �e.� �'��'i��-}�,4�' � � -�'�-� � r��:���u.��}-� %-�%z��v� <br /> ����c� (��� <br /> �--�,�����-���-���--__ <br /> ( '`' �"���.�ti� <br /> ,; 1 . �, <br />