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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.everettwa.org <br /> 3003 W Casino Road, Everett, WA <br /> PROJECT ADDRESS <br /> Boeing Company PO Box 3707 Seattle WA 98124 <br /> Owner Mail Address City StatelZip Phone <br /> Same <br /> Tenant Mail Address City State/Zip Phone <br /> Milne Electric Inc. 14582 172nd Dr SE,#1 Monroe WA 98272 360-863-9617 <br /> EleCtriCal ContraCtOr Mail Address City State/Zip Phone <br /> MILNE31101 PN 031702 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Aircraft Manufacturing $55,611.00 <br /> ' C'�' .Ss�"�+a:.^..inR•{D,E, a�t,. -a <br /> Proposed Use of Building t' �T � 1�,: ~. <br /> N/A Dave Banks (206-255-6333) <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> N/A <br /> Number of devices(If low voltage) <br /> � °�� -° �� �� : Install new Chatsworth cabinets and associated circuits in tl�@ 40-03 building as shown on <br /> r,� ���`��at't�:: <br /> CS-270 throuqh CS274. lX/�,V Y► t Y l. � <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��c • S � <br /> J <br /> I hereby certify that 1 have read and examined this application and know the same to he true and <br /> correcf. All 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 ^ 1 n ( �, r� <br /> performance of construction. That I am authorized by the owner of this property to pertorm the t f�\ d- �� <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W,4C. <br /> MaYgr`e MscG�wa�r 1/12/17 <br /> Signature Date <br /> REVISED 08/0&2014 <br />