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03/16/2016 WED 13: 05 FAX 360 805 0287 MILNE ELECTRIC 2002/002 <br /> • 0 <br /> 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 State/Zip 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 $2,100.00 <br /> Proposed Use of Building Contract Price of Work <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 /> Description of Work to Be Done: Add a receptacle for ATM Machine in 40-86 Building. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l hereby certify that/have read and examined this application and know the same to be true and <br /> correct. 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 <br /> performance of construction. That/am authorized by the owner of this property to perform the I O <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC, c <br /> 4� '� d� <br /> Signature —"---Date" - <br /> REVISED 08/0512014 <br />