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SERVICE ELECTRIC Fax:360-568-9283 Jul 31 2015 10:05am P001/001 <br /> � <br /> ELECTRiCAL P�RMIT A,PPLICATION <br /> Cf7Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV�RETT, WA 98201 <br /> 425�257-8810 - FAX 425-257-8857—www,evereftwa.org <br /> ����1 <br /> ' � 2 36th Street, Ever-ett, WA � <br /> PROJECT ADDRE$S <br /> City of Everetit 3200 Cedar Street 2nd floor Everett, WA 98201 425-257-8800 <br /> Owner Mail Address Ciry S��tel2ip Ahon� <br /> McClure& Sons Cons�ruction Trailer <br /> �renant Mail Address City 5tste/Zip Phone <br /> Service Eleciric Co., lnc. P.O. Box 1439, Snohornish WA 98291 36��568�6966#201 <br /> �lectricai COntractor Mail Address Ciry StateJZip Phone <br /> � SERVIEC564RU <br /> 029064 <br /> State LiCeilse Numt�er(required) City of Evsrett BuSiness LiCense Nun�bor-(required) <br /> 400amp Temporary Power for Pumps <br /> Proposed Use of guifdiny Contract Price of Work <br /> i <br /> Sharon Card -sharon@secoinc.coil� <br /> Square Footago(li residential nsw Construction,remodel or addition) Contact Person/Gont�Gt Numbsr/Email <br /> Nurnber of deviceS Qf low vo(tag�) <br /> � �sscription ot work to Be Done: Tempor�ry Power 400amp for pumps for McClure & Sons for ti,e work <br /> _ being performed at tt�e Riv�riront Development S�nitary Sewer Lift Station project, <br /> FEE <br /> iGCTY OF EVERETT LQCAL SALES TAX CODE IS 3105 ` � ��� <br /> I f)ereby certify thaf!have rsad and examined 1hi5 applicafi0n and know the Same to be frue and <br /> �' 25� � <br /> cor�ect. All provlsions of laws and ordinances goveming this type of:�vork will be complef�d ! <br /> U✓hether speCf�ed herein 4r noi. 7'he grantil7g Of a permlt does not presuRl6 to give aufhority to PE Rh1IT# I <br /> viblate or GanCe!the provisionS of any ofher si3te or/oca//a�v regulatiny Collstluction or the c <br /> �erformanCe of constructiOn. That i am aufhorized by the owner of this prOperty fo perforrn 2he ��� �� "��� <br /> work fo�whiCh application!S made and I COntply wifh ths State Confrac2orS Law'13.27 RCW ano ` � � � <br /> � 296.200 Wi4C. <br /> �"� ���� 7-31-15 <br /> Sl�nature Date _,__ <br /> ��v�s��osm�zo,a "NOTE* Please call for Credif Card fnformation or any questions. Thank you <br /> a�����,,..�_.._.w..._.__....._,�...----- - <br />