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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 /> 1102 Shuksan way Everett 98203 <br /> PROJECT ADDRESS <br /> Terry' s Machine 12128 Cyrus Way Mukilteo, Wa 98275 425-315-8866 <br /> Owner Mail Address City State/Zip Phone <br /> Terry' s Machine 12128 Cyrus Way Mukilteo, Wa 98275 425-315-8866 <br /> Tenant Mail Address City State/Zip Phone <br /> Dennis Webb Electric 4530 Crown Lane , Malaga WA/98828 206-321-8488 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> DENNIWE031C4 033430 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Machine Shop $85 , 000 . 00 <br /> Proposed Use of Building Contract Price of Work <br /> 40, 000 Skip Johanson 206-321-8488 <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> skip@webbelectricinc.com <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Install a 1200-amp 277/480-volt service and replace all <br /> the overhead lights with LED <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 L J n <br /> I hereby certify that I have read and examined this application and know the same to be true and `�U <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 G� <br /> performance of construction. That I am authorized by the owner of this property to perform the E 1503- 005 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> X/ i- .�i,� 3-02-2015 <br /> Signature Date <br /> REVISED 08/06/2014 <br />