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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.ever�ttwa.or� <br /> .,� , � S, <br /> ��`��L� �� � <br /> ���� (.�I� /'� _ �� ?� <br /> ; ` ��7''�` y�j �j � <br /> �ci��i�i�i���tr��l, k;.=��r�t#, 4�1i� �air�s� set a� F�iarts �� E�i�i��-Ci i� <br /> RR�J�CT�pDRES� <br /> C;ity of Ev�rett :3200 C�dar Str�et 2nd floor Everett, WA 98201 425-257-880�_ <br /> Owncr Mail Addres� City State/Zip Phone <br /> Riverfront Development Sanitary Sewer Lift Station Improvements, COE - Everett, WA 98201 <br /> Tenant Mail Address City State/Zip nhone <br /> Service Electric Co., Inc. P.O. Box 1489, Snohomish WA 98291 360-568-6966#201 <br /> EleCtriCal ContfaCtor Mail Address City State/Zip Phone <br /> SERVIEC564RU 029064 <br /> State License Number(required) City of Everett Business License Number(required) <br /> C?C� <br /> Sanitary Sewer Lift Station �� ��' � <br /> �Z�� O��`J. ` �� � �`Yvl <br /> Proposed Use of[3uilding Contract Price of Work ��1�11 <br /> Sharpn Card - sharon@secoinc.com <br /> 5quare Footay� (If residential new construction, remodel or addiUon) Confact Person/Contact Numbcr/�mail <br /> NuiYiber of deviees (If low voltage) <br /> Description of Work to Be Done: Riverfront Lift Station #43 Electrical System /� i �b�'��I � <br /> FEE � � �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��� J�J <br /> ,,� <br /> 1 hereby certify that I have read and examined this application and know the same to be true and <br /> correct. A/l 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 � {�-� <br /> performance of construction. That 1 am authorized by the owner of this pro/�erty to perforrn the E , � v .li'1 � <br /> work for which application is made and I comply with the State Contractors Law 18 27 RCW and J <br /> 296.200 WAC. <br /> S�'��'�` �� 1-08-16 <br /> Signature Date � <br /> REVISFD08/06/2014 Please call for credit card information <br />