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From:OutToday 4258691071 02/��!2011 16:34 #262 P.002I002 <br /> ( � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PER�iAiT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> �-� s-u <br /> APPUCAT70NS ARE ACCEPTED FROM 8 AM TO 4 PM a �6� <br /> Ellb <br /> 1630 Lombard St Everett, WA 98201 <br /> PROJECT ADDRESS <br /> Jane Haney 1630 Lombard St Evet'ett t!VA, 98201 •��-�°�� <br /> Owner Mail Address Cly StatumD Phone <br /> Tenant Mail Addroea Ciry S�a1a2�V Pho^e <br /> OUtTOCIay S@CVIC2S 2020124th Ave NE#C-103 Qellevue �WA, 98005 "s""` <br /> E�eddcalContrector Me1lAddresa � //�/�, Cky StetelLip Phone <br /> OUTTOS*910JL ` $4,658.80 <br /> State License Number Contract Pdce of Work <br /> Proposed Use oi Butlding Canlect Person (Plen Revlew) <br /> oe��P„a�o,Wo�,a�oo�e: 200 amp panel replacement. <br /> NOTE: W IRIN6 IN NON-DWELLiNGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS,MC OR AC CABLE. $75.00 <br /> CfTY OP EVERETT LOCAI SALES TAX CODE IS 3105 <br /> !hereby certl/y that 1 have�ead end examined lhis applfcetion end krrow fhe sar,ie to be frve end <br /> conec(. All provlslons ollaws end ordinences govemlnq fhls type o!wodc wlll De aompbfed <br /> whether spec!/�ed herefn a�nnt. 7he grsnfing of a perm7t does nof presume fo l77ve authorlry to <br /> violefe ar cancel fhe FroHsions ol any ofhe�sfete ar locel lew reguleNn pconsGucBon or tlre '�� <br /> performanca ol avnstrucflon. P�at l em authorized by fhe owner o!fhls roperty ro perlam fhe �+ <br /> work lor which applicafion!s mede and I compty wllh the Sfafe Confracfors Lew iB.27 Rr:W and '� �/ <br /> 296200 WAC i �i <br /> February 14th, 2011 <br /> Wre We <br /> 1 <br />