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06/��/2009 NON I2� 1B FAX E253551610 dutton cenon 0001/001 � <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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 30031N CASINf)ItOAU 1145�272 <br /> PROJECT ADDRESS <br /> It�11i14G COMPANY PU 130X 3707 Mti 1 F 09 S!?ATTLIi WA/9fl124 425�294�0514 <br /> Owner Mail A�Jress Cily Slete2ip Phone <br /> Samc as above <br /> lenant �dadqaaress Ctly Slate2ip Phone <br /> Fax: (9'l5) 355-1610 <br /> Dutton Electric Company 12407 Mukilteo Speedway A-170 Lynnwood, WA 9R087 (425)347-7600 <br /> Eleclrical CoNraclor Me�l Atldress Ciry Siate/Ziv Phone <br /> DUTTOEC137P3 SZ o3� .43 <br /> Sfate Lrcense Number Contracl Price of Work <br /> 'I'OOI.STOItAGii Icremy Abhutt 4?5-356-7406 <br /> Proposed Use ol Buiiding Contact Person (Plan Review) <br /> oescnptionolWorl,toBeDone Install lighl's and receptacle circuit to tool shed. <br /> NOTE WiRING IN NON-DW[LLINGS IS REQUIRED TO FEE ; <br /> 0[ IN RAC[WAYS, MC OR AC CABLE <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 9106 ,'1^C.( <br /> I hereby certily fhal I have read and eamnined fl;is app��iaLon antl know fhe seme lo be In�e end ���1�� - v�� 1 <br /> correcl AU p�ov�mons ollaws arrd ordmancos governmy fhis type ol wurh will be complefeA <br /> �vhe�her specil�ed hoiem or not. Tlin granling ol e painvl does nof presume fo give aufhoiiiy to <br /> v�olale or r.ancM fho provisron5 0l eny ofher stale or Ncxl lew regu/afmg cons6uchorr or the <br /> peAurmnnce ol a�nslruUion. Thaf I am aulhonzed bv fhe ow�ncr o/fhis property fo peAorm Ihe <br /> work/or�vhrch applicaf��n is made ami I cernply w�vi fha Sfafe Confracfors Law f8 27 RCW and <br /> �96?GC WAG <br /> � � � "'� � �,c��i�� / � � � <br /> � r�sy���' L_ "7', �!�/fi,_:!y L L� � — <br /> ignaiure . � Dale�• <br />