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ELECTRIC�L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.gov <br /> �1 �� <br /> �@�6't�North Broadway Everett WA. 98201 <br /> PROJECT ADDRESS <br /> Washington State University 110K Facil Ops 14204 Salmon Creek Vancouver, 98686-9600 <br /> Owner Mail Address City State/Zip Phone <br /> SAME (360) 546-9237 <br /> Tenant Mail Address City State/Zip Phone <br /> McKinstry 5005 3rd Ave S. Seattle, WA 98134 (206) 379-3152 <br /> EleCtrical Contractor Mail Address City State/Zip Phone <br /> MCKINCL942DN 049226 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Higher Education $4, 560, 114 . 00 <br /> Proposed Use of Building Contract Price of Work <br /> 95, 737 Pete Kelly (206) 379-3152 <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> peteke@mckinstry.com <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: ConstruCtinq all the electriCal phases of <br /> the project from start to finish <br /> I�� �r��v���l�����c��- <br /> FEE � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��� '1 u � �� <br /> ' L 1 <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 wil/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 I am authorized by the owner of this property to perform the E I��� '�� r�� <br /> work for which application is rr�ade a?d I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. ; ,, � <br /> , �.� <br /> ;;� "'� � � �� 9.24 .2015 <br /> Sign�'ture Date <br /> I <br /> REVISED 08/O6'2014 <br />