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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 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 <br /> PRIMEEI134BT 019946 <br /> State License Number(required) City of Everett Business License Number(required) <br /> t 35, 000 <br /> Proposed Use of Building Contract Price of Work <br /> Tom O'Hara <br /> tohara@primeelectric. 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: See °. CM Ca_. • <br /> i'. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ( 2S ------ <br /> I hereby certify that I 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 I am authorized by the owner of this property to perform the ` L <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /Z/Z <br /> Signature Date <br /> REVISED 06/76!2014 <br />