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06/19,07 TCE 01:12 FAX 425 355 1610 DUTTON ELECTRIC <br />IQ 001 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR.STREET, EVERETT WA 98201 <br />425-257-8810 - FAX 425-257-8857 — w,ww.everettNa.org c 07 p (7-/t Z <br />APPLICATIONS ARE ACCEPTED FROM 8 All. TO 4 PM <br />SiC.UL-2 LK ECGm. sc.fincL %oz1"c6 <br />PROJECT ADDRESS 17 -P7Al <br />t Viff2E7 SCff -OKT (CT Po %o}c Znlq, ( r'14-?zcrlr Ld/R Gp <br />1Si�°,3 - c02p <br />Owner Mail Address City Statezp Phone <br />Tenant Mail Address City stite:Zp Phone <br />( Zg07 c'u�Krcrca 5('�r7c✓i�j, fC//iF A/�J <br />� CA[ -(Or( LCC-Cf IC- L- �yA4 o<o f GLIF,I e? 9O �f 7 Zi lY7-'(O < <br />Electrical Contractor MailAddressCity Slat?/Zip Phone <br />Slate License Number Contract rice of f Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Description or Work to C'a Done: (A)5 Mee. 1 Z5 /�-'n� � �Fe &4JC✓L jU <br />iZ-rkP. 0f-r7Ct �d4r7P16(e- <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 ha,,eby certify that I have read and examined this application and knou'r the some Is be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether speclfied herein or not. The granting of a permit does not presume to give:authorityto <br />violate or cancel the pi °visions of any other state or local law regulating. construction or the <br />performance of construction. That I am authorized by the owner of this loropertylo perform the <br />work for which application Is made and I comply with the State Contract,rs Law 16.27 RCW and <br />296.200 WAC. <br />7. <br />ipn turn Date <br />P6 7a Ce <br />