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10/15/2009 THU 23� 00 PAX 4253551610 dukton cenon m002/002 <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> A25-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �0' �6—D9 <br /> �r�iio- o �s , <br /> 3003 West Casino Road �i����G a0•aU <br /> PROJECTADDRESS <br /> UOEINf C.OAIPANY PO I30X 3707 MS 1 P 09 SIiA'I"1'Lli WA/98124 M125•294 0514 <br /> Owner Maii Atltlrcss Cily Stale2ip Phone <br /> Same as above <br /> Tenant M11ail AOdreas <br /> ���Y Slate/Zip Phonc <br /> Fax: (425) 355-1610 <br /> Dutton Electric Company 12407 Mukilteo Speedway A-170 Lynnwood WA 98087 (425)347 7600 <br /> FleclricalConiracta MailAatlrese City S�ate/Zip Phone <br /> DUTTOEC137P3 S1,000.00 <br /> State License NumUer Contracl Price ol Work <br /> Airline �cremy Abbott M125•35G•7406 <br /> Proposed Use ol Building Contac�Pereon �Plan Review) <br /> Descriplion ol Work to Be Done Wirc Holl up lloor <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE$ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS J105 <br /> I hereGy certAy fhaf I have read and oramined fh�s applicafiorr nnd Fno�v!he same to be fruo end <br /> con�ct. All piovisions o!la�vs and oidinances governmg this fype o/woik will bo complete0 <br /> �vhclher speciGed herein o�noL The gmnfing ol o permrt does nof piasume;o give aufhwity fo <br /> wolale oi concel Ihe provisions o/m�y other sfale or loce/law regulating consfrucfion or fhe <br /> peAormunce of consfruchon. Thal I am aulho�ized Gy Ne owner ol tAis property fo pedorm fhe <br /> �ouik/o�wh�ch applicefion is made and I compty with the Sta(e Contrac(ors Law 7827 RCW And <br /> :96 200 INAC. <br /> / � yi " (((\l/"�) / <br /> ._ ..j/�i,�'�C-(' �')J�,��� 10/16/'1009 <br />� � Si9nalu ,� Date <br /> / / <br /> r�! (! � <br />