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RPR-28-2011 09:54 From:RUFFEY GLDBAL 4253534826 To:425 257 8657 P.1�1 <br /> V � —� <br /> ELECTRICAL PERMI 'i 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 /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 7619 Rainier D.r. , �veYett, 98203 <br /> PROJECT ADDRESS <br /> '^mes Mas�en 7C25 Rainier Dr Everett WA 58203 206-790-3166 <br /> OWnef Mail Address Ciry StatelZip Phune <br /> None <br /> Tenanl Mall AdAress City Sta�el'Lip phona <br /> owner <br /> Electrical Contractor Mail Addrnca Cily State2ip ahnne <br /> P�-Elect Cert/Lic #19509 �xp 3/15L2012 N/A <br /> Slale Licensa Numbef ConttaCl PriCtl o(Wor1c <br /> Residence J'ames Masten <br /> Proposed Use of Building Conlbcl Person (Plan Revicw) <br /> Description of Work lo Be�one: ReP1aCe service / wiYin4 <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT IOCAL SALES TF�(CODE i5 J105 — <br /> I Irereby cerafy tl��f I have read an0 examined rhis Apglication antl know fhc same to be(rue and <br /> conect. All pruvisrvns ollaws and ordinances goveming this rype of wurk will be cromplefed <br /> whetl�er specified herein or not. The gronfing o�o pamrt does nol preyume fo pive authaify to <br /> violete w canr.xr fhe provis�ons ol any ofhCr sfate or local law regul9fing construction or the <br /> parfnrmance ol constnrction. Thaf 1 am authoiized by fhe owner of fhis nroperty fo peAorm the � <br /> work lor which applicatlon is modc and 1 comply wifh the State Cnntrac(nrs Law 1D.27 RCW and � / 3 <br /> 296.200 W�C. I n U —/ <br /> � �, -� <br /> � 4 28 2011 <br /> ign.ture Date <br />