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OB/03/�009 MON 19� <5 PA% C:53551610 dutton cenon 0002/002 <br /> i ' <br /> ELECTRICAL PEIRMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE'�T, EVERETT, WA 98201 <br /> 425-257-B810 - FAX 425-257-8857 —www.everettwa.org g —y`�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM CCC� 1 D�y OI� <br /> 3003 W CASINO ROAD N4;-27G(itall ]01) <br /> PROJECT ADDRESS <br /> fiOfilNG COM111'ANY I'0 NOR 3707 MS 1 P 09 SGA7'l'I.li �VA/9ft1 Z4 425.2'�4-0514 _ <br /> Owner Mail Address Gly Slate/Zip Phune <br /> Same as above <br /> Tenanl A7adAddress CAy Stele/Lp Phona <br /> [•'a:c : (425) 355- 1610 <br /> Dutton Electric Company 12407 Mukilteo Speedway A-170 Lynnwood WA 98087 (425)347-7600 <br /> EleclriCal Conlraclor Man nrlaress City State2ip Pnono <br /> DUTTOEC137P3 �2 037 . 43 <br /> Slale License Numler Contract Price of Work <br /> 'P001.STORAGG I����my Abbott 425-35G-740G <br /> Proposed Use o1 Building Conlact Person (Plan Review) <br /> CescripfionofWorktoBeDone: Insfall lights and receptacle circuit to Cool shed. <br /> NOTE WIRING IN NON•DWEU.INGS IS REQU�RED TO fEE 5 I <br /> B6 IN RAC[WAVS, MC OR AC CABLE I <br /> CITY OF EVERETT ICCAL SAL[S TAX CODE IS J105 �7 <br /> 1 hereby ceiG/y Iha!I have read and c�amined fhis apphca6un end know fhe same fo be 6ue and � (��('�C1Y � �i� I <br /> cunecf All prov�s�ons ollaws and o�dinonces governing fhis lype ol�rork will be complefed / �1 <br /> �chefhei speciLed he�ein crnof The gian6ng o!a pemuf daes nat resume to give authonty fo <br /> wointe nr canccl Ihe prov�sions ol any other sla�e or local law reguPGng constnic(ion or Ihe <br /> pedonnarce ol cuns6uc6on. That I am aulhoii:ed by fhe nrmer of fbrs property to perlonn tlre <br /> worh/pi tvluch nppLcahon is rirado and 1 comply�v(h fhr Stafc ConLaclois Law 10 27 FCW and <br /> 296.200.�VAC _ <br /> 1 <br /> _-% / r/-�, .+ / . � <br /> i 'r'�' �1 '���; uf�alzoo�� <br /> �gn3�ar4 � Date <br />