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253-9819996 xrx7855 RFI (]1j•f7:13 a.m. 05-16-2014 3/3 <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 Rd -Stall 209 309 <br /> PROJECT ADDRESS <br /> Boeing 3003 W Casino Rd Everett WA 98203 206-229-3292 <br /> Owner Mat Address City State/Zip Phone <br /> Same as above <br /> Tenant Mall Address City State/Zip Phone <br /> RFI Communications&Security Systems 19717 62nd Ave S#F103 Kent WA 98032 253-981-6100 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> RF!COS*900MC AA 59.0r1 <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> 1 <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: install PTZ on Stall 209 pole RFI Job#32-86-D1149 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 $50.00 <br /> 1 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 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> '040, <br /> • <br /> /08/13 <br /> (.` 3rgnature 19 Data <br /> REVISED 320/13 <br />