Laserfiche WebLink
�°� � ELECTRICAL PERMIT APPLICATI4N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org <br /> ' j33b �'ac.ke��it��-,�u� Cverct-+- LJ� <br /> -�.Z08 13t <br /> PROJECT ADDRESS <br /> PRMCE 1700 13th Avenue Everett WA 98201 425-261-2000 <br /> i <br /> . OWner Mail Adtlress City State!Zip Phone <br /> PRMCE 1700 13th Avenue Everett WA 98201 425-261-2000 <br /> � Tenanf Mall Address Ciry S:ate2lp Phone ' <br /> VECA Electric PO Box 80467 Seattle WA 98108 206-353-9842 ' <br /> EleGtfical Contracfof Mail Address City S:ate2ip Phone ' <br /> i $342,200 <br /> v eUtE�l��}zMV <br /> State License Number Contract Pnce of Work <br /> Medicai Office Building Nanr.�I�umnnt <br /> Proposed Use ot Building Contact Person (Plan Reviewj <br /> � 12,500 ��"'� <br /> '�, Square Footage(If residential new construction..remodel or addition) <br /> �Nti�.Ai✓J�°�-� <br /> ' ; �� ',�c-��'3�`� <br /> Number of devices(If low voltage) <br /> Remodel of existing Clinic Space#815948 <br /> . �� Descnption of Work to Be Done: <br /> "ii <br /> � <br /> £: <br /> FEE <br /> �ICfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I be/eby certily thal I have read and examined this appbcation and hnow fhe same to be true and <br /> . correct. A11 provisions oflaws and orzlinances goveming this type o!wo�k wi!(be completed <br /> whether specified herein or noL The granting ol a pem�it does nof presurne to,qive authonty[o pERMIT# i <br /> vio/ale or wnce!the prov�s�ons ol any otherstate or local!aw regulating const�uctinn oi the � <br /> pedormance ol consWetion. Tha�I am autho�ized by the owner ol this propeRy lo Uedorm fhe //� 7 <br /> Iwork for v✓hich applicafion rs made and I comply viith the State Gonfrac(ors Law 18.27 RCW and � '�1�) �' ��`J <br /> 296.200 WAC. . <br /> � ` /A � <br /> I �p / ��f�///�� <br /> . I �iV�,1.�vGv " " I,i•—, J� G�' �� <br /> �� j bSignature� Date �� <br /> IRFVfSED.Y20/1? �. <br />