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SERVICE ELECTRIC Fax:360-568-� SeP a 2015 02:17pm P0�1/001 <br /> ELEGTR�C.AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERV.tCES <br /> 320Q CEDAR STREET, EV�RETT, WA 98201 <br /> 425-257-8810 - FAX 425,257-8857—www.everettwa.org <br /> �la� �I �`� �sfi' --�+f�' s�<� �u� <br /> 28;0 41st Street, Everett, WA j <br /> PROJECT ADDR�SS i <br /> Ci1y of�verett 3200 Ced�r Str�et 2nd fioor Everett, WA 98201 425-257-�800 <br /> Owrter Mai€Address City statelZip Phone <br /> Rpvetfrpnt Development Sanitary SevVer Lift Station Irnprovetrler�ts, CO�- Everett, WA 982�1 <br /> Tenant Mail Adtlress C!ry SEate/Zip Phone <br /> Service Electfic Co_, Inc. P.O. Box 1489, Snohomish. WA 98291 360-560-6966#201 <br /> Electrical Confractor Mail Address Ci#y StatelZip Phone <br /> SERViEC564f2U 029064 <br /> State Lic�nse Number(requlred) City of Everett Business LiCense Number(required) <br /> __ _ Sanitary Sewer Lift Statton 3 Oop_0� __ <br /> Proposed Use of 6uilding Contract Price of Work <br /> Sharon C�rd -sharon@secoinc.com <br /> Square Foo#age(Ef Tesidentia)neW ConSttucEion, remodel or additjpn) Contact Person/Contact NumberiEmail <br /> Number of devices(ff low voltage) <br /> __ ���___�_�_.�-� <br /> DescripTion of Work to Be bone: �ive�front Lift St�tion#43,�dd new 100amp Temporary Selvice <br /> being performed at the Riverfront Devefopment Sanitary Sewer Lift Station project. <br /> � <br /> I I <br /> FE� <br /> � CITY OF EVERETT LOCqL SqL�3 TAX CODE IS 3105 �I�� 0 �� <br /> �1' <br /> !hereby certify tha2 I have rgad and examined this application and know the same to be true and <br /> correct. A!!provisfons of laws and ardinances governing thls typ�of work will be comple2ed <br /> wheth,er specifed her�in or npt. The granfirrg of a permit does not prssume 2o give aulhor�ty to PERMIT# <br /> violate or cance11�1g prpvj5ions of any other state or locs/law r�gulatfng constructfoft or fhe <br /> perfoimance of consrruetlo». That I�m aufharized by the owner pf this prop6rty to perform the E ,��'1.�- �j�� <br /> work��or wluch applica(lorl is m�de and I comply with the Stat�Contractors�aw i8.,27 RCW and �%C� <br /> 296.200 WAC. <br /> �. ��---- �a�'� 9-04,�5 <br /> Slgnature Daie <br /> � I <br /> E ����°°�'�'�''� PEease call for credit card i.nformation i . <br />