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10/27/2010 w6o 22: 15 PA% 4253551610 dutton canon m002/Ou2 <br /> r <br /> ELECT"RICAL PERMIT APPLICATION <br /> CIT'( OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV�RFTT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—•rnvw.everettwa.org ��J��� <br /> c-iaio--r�3 <br /> APPLICATIONS ARE ACCEPTED i ROM 8 AM TO 4 PM JOB 10-CP <br /> 1121 SE Everet[Mall WaV STB 210 <br /> PROJECT ADDRESS <br /> SF,RS 1121 SG L'v tt Mall Way Suite 210 Evere[t WA/98208 (425)407-3925 <br /> Owner IAailAddress Ciry Stafe/Zip Phonr <br /> Same as above <br /> Tenant blall Address City Stale2ip Phone <br /> Fax: (425) 355-1610 <br /> Dutton �lectric Company 12407 Mukilteo Speedway A-170 Lynnwood, WA 98087 (425)347-7600 <br /> EleWrical Conlraclor Mail Address Ciy Slale2ip Phone <br /> DUTTOEC137P3 $3,452.00 <br /> Slate License Number Contract Price of Work <br /> Office Dave McLau�hlin (h25)359•4933 <br /> Proposed Use of Building CoNact Person (Plan Review) <br /> Description of Work lo Be Done: Add (1) 100AMY I�ceder <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE$ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br /> I hereby corti/y(hat I hove read and examined this applicatron end kno�v fhe some lo be(rue and �l U�G- ���`� <br /> correct. Atl provisions o/laws ond ordinences gave�mng(hrs type ol wo�k will be completed <br /> whether specdiod herein or noL The granhng o!a pe�md does notp resume to give authonty to <br /> violo�e or cancel the provisiens o!any other sfate or local law regulefing constiucfion or the <br /> pedo�mance o/construction. Thef I am authonzed by the owner of this property to peAorm the <br /> work lor�whrch apppppplicafion is mede and I compty wifh lhe Sfe(e Conhactors Lau�1827 RCW end <br /> 296200 WA� <br /> ) <br /> , �� - �� <br /> ���=rt�_Xr� io�za�za�a <br /> Sgnaturc �,i Dale <br />