Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-mvw.everettwa.org <br /> 3003 West Casino Road <br /> PROJECT ADDRESS <br /> The Boeing Company P .O. Box 3707 Seattle, Wa 98124 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Prime Electric 13301 SE 26th St Bellevue, Wa 98005 425-747-5200 <br /> Electrical Contractor Mail Address. City State/Zip Phone 1 <br /> I <br /> PRIMEEI13413T 0-1994 , <br /> State License Number(required) •ty yr - ett Business U ense Number(required) <br /> 4 <br /> ; 5,0, 0,0 <br /> Proposed Use of Building •ContIct Price of Work <br /> Tom O'Hara <br /> toha - , 0 eelectric . com <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: lel <br /> ijot,e, Ji, /4 a 114 'old Jo eq I-g- <11-eor is' '.7 ,1 ew"Awe -, 1:41111 <br /> I e to I ''y <br /> ../ .‘„/ <br /> 3-04 plulorkgr f 2,02-3 ,q, eidi lie- 87 /54- F/00,- <br /> i <br /> 1 <br /> k <br /> FEE 1 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> (e Co S '------ i <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. Ail 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 locaf law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the E k$02 -0 S <br /> work for which application Is made and!comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC, <br /> 4 Signature Date 2— i <br /> REVISED 08/06/2014 <br /> I. <br /> 1 <br />