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10i19/2007 07:91 FAS 425J551810 DECO (m001 <br /> { <br /> ELECTRILAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SER-/ICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> A25-257-8810 - FAX425-257-8857—www.evereriwa.org <br /> APPUCATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> 3025 RuckerAvenue, <br /> PROJECT ADDRESS <br /> The Everett Clinic 3901 Hoyt Avenue Everett WA/98201 (425)259-1163 <br /> Ownef MailAOdnss Clry ��Ip �e� <br /> Same <br /> Tlnant MailAddress Clty StaWZlp PMn� <br /> Dutton Electric Company 12A07 Mukilteo Speedway A-170 Lynnwood WA 9B087 (425)347-7600 <br /> EICdfIWICOntraClof MailAEtlross Chy S�ilKLlp P�e <br /> �4 �/ <br /> DUTTOEC137P3 ' �r�l �l � .$3 '��• <br /> State License Number � ' Contwd Price of Work <br /> Medical bldg Dave McLaughlin(425)359-4933 <br /> Proposed Use uf Builtling COMact Penon (Plan Review) <br /> DescripUon of Work lo Be Done: ,Rep18Ce (2) Si68R1 G@I1e�8tOfS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E$ <br /> BE IN RACEWAYS,MC OR AC CABIE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereDy certiry thaf I hnve read and eremirrod this application and know tha same to be true ana <br /> cORect All pN,wsions u11aWs and ordinBnC9s govaming fhis rypB o1 wOrk will D9 COmplafotl <br /> whethe�speci6ed harein ornoL The prant/ng v/a pe�mtd doos not presume to glve aulftority to <br /> violafeorcanceitha provisionsulanyothersteteor/ocallewragulatingConsWdionorfhv � <br /> perfom+ance ol consiructlon. That I em aufhonzetl by fhe ownerol fhis proporty fo peAomr Urs <br /> woiic ror whicb appUcation is mode�nd 1 canpty with fhe Stale Contradors Law 18.27 RCW snd <br /> 196.2 C. - <br /> � . '� /D /��� Ir/ <br /> �OWro Da�a � � I��-/"II <br /> i I <br />