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- - - ---- - ----------- ----- - <br /> E�ECTRICAL PERMIT APPLICATI4N <br /> C�TY OF EVERETT PERMIT SERVICES 3_�_-�3 <br /> 3200 CEDAR STREET, EVERETT. WA 98201 �,�� <br /> 425-257-8810 - F,�X 425-257-8857 —www.everettwa.org ���'3� <br /> '�l�' � <br /> �� 2690 W. Casino Rd. <br /> PROJECT ADDRESS <br /> LBA Realtv Fund III Comp. IX LLC PO Box 847 Carlsbad CA 92018 phone <br /> . Owner Mail Aadms� Gly StatelTip <br /> Maiestic Glove 6707 Henderson Rd. Everett WA 98203 425-407•P200 <br /> �' Tenanl �daii AOdress City Stale2ip <br /> II <br /> Kirb Electric Inc. 4826 B St. NW Suite 101 Auburn WA, 98001 253-859-2000 I <br /> �.+a�i nea�ess cny sia�az�P <br /> Fleolncal Conhactor , <br /> KIRBYE1077BN _ �11 358 00 <br /> �. Contract Pnce of Work <br /> �� State License Number <br /> Scott Jenninas <br /> ManufacturinqlProduction Contact Person �Plan Reviewl <br /> Proposed Use of Bwltling <br /> N/A <br /> Square Footage(If resident�al new construction, remotlel or addition) <br /> N/A <br /> Number of dewces(It low voltage) <br /> Descnphon ol Wotk to Be Done Provide 400A 277I480V service to vacant tenant space. __._ <br /> I <br /> FEE <br /> CITY OF EVERETT�.00AL SALES TAX CODE IS 3105 $ 270.37 <br /> i hcreby r.ertdy thaf I have read nnd exmnuicA fhrs app6cafion nnd hn�w fhe snrne to be tn�e nnd _ <br /> rorrecf All provisions ollaw-s �nd oMmerrces�ovemmg fhis fype o/work wdl be complefed <br /> wnether specibed herem or not The qrnnhng ol a pemuf Aoes not presume to give authonty to �PERMIT# <br /> ✓m�AIB 01 f.flf1CBlllle n/OVISIOIIS OI flfly OIIIC/SIAIB 0/I(H;flI I(IW/[!9U�/INI1Q f.Ol15II11CI10/1 01IhB � . . <br /> perfortnance o!consf�uchon Thal l am authoiized by fhe owne�ol fhis prnperty fo pedonn fhe E I ��C � _ I `�i ('. <br /> n�orlc!or wluch o phc ion is madc nnd f compty wifh the Sfa�c Confractors Lnw 18 27 RC W nnd <br /> 296 200 W <br /> \ �" � <br /> Signat Date <br /> I •. <br />