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10/25/2011 FRI 15:26 FAx 360 905 0287 MILNE ELECTRIC ®Ot2/0-0 <br />• <br />i <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR S1 REET, EVERETT, WA 96201 <br />425.257-8810 - FAX 425-257.8857 — www.everettwa.org <br />ac�� <br />3003 W Casino Road. Everett, WA Uo-zq r.- <br />PROJECT ADDRESS <br />Boeing Company PO Box 3707 Seattle WA 98124 <br />Owner <br />Mail Address City State/Zip Phone <br />Same <br />Tenant <br />Mall Address <br />City <br />Milne Electric Inc. 14582 172nd Dr SE, #i Monroe <br />Electrical Contractor Mail Address City <br />MILNE31101 PN <br />State License Number <br />Manufacturing <br />Proposed Use of Budding <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (It low vollage) <br />Description of Work to Be Done' <br />RFID Scanner <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />State/Zip Phone <br />WA 98272 360.863.9617 <br />Staleell/Zip Phone <br />Contract Price or Work <br />John Trombley 206.786.6122 <br />Contact Person (Plan Review) <br />Ivan Rybachull 425.367-7801 (Boeing <br />contact) <br />Q <br />ftl bb <br />I hereby terrify, first I have reed and examined this application and know the some to be true and I <br />correct All provisions of laws and ord,nances governing this typo of weds will be completed <br />whether specified herein or not. The grunting of o permit does not presume to give authodly to PERMTTiI <br />violate or cancel the provisions of any other state or local law regulating Consrruc .hot? or the f— ri I D — ��i <br />perfannance of construchon. Th I am authorized by fire owner of this Property to perform the C �i lam` <br />work Ior whit opplication is m a and 1 comply will) the state Contractors Law rB 27 RCW and I " _—_— - J <br />296,200 W <br />Signalu Dats / <br />