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U7'1�V'.00S Ui:J2 Fd.l' �12��5�1610 DECO �001 <br /> b�� r�zG <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR ST4EET, EVEREIT, WA 98201 <br /> 425-257-F3ES�0 - FAX425-257-8857-vwvw.evereriwa.org � <br /> (= t; �G."- _ -,�. <br /> APPLICATIONS ARE ACCHPTFD FROM 8 AM TO 4 PM 7 ��� _�,� <br /> :�1 �� � <br /> z�t3� �� Sm�� — ��saE rc; w�c <br /> PROJECT ADDR�SS <br /> �'vE�2errF�.a�cs � REcztar�oN 80Z E'.�+uxu.ro �„�, �'vo2irf— wA 98Lo3 �zS�Zs,�-83c� <br /> OWnef Mail�1tlCrc5, City StaM2p � Phone <br /> 5�� <br /> Tenant Mail Addro.. City Stale2lp Phone <br /> Dutton Electric Company 12407 Mukilteo Speedway, A-170 !ynnwood, WA 98087 (415)347-7600 <br /> Electrical ContractOr Mali Addmss Ciry 5tatelLip Phone <br /> JUTTOEC137P3 $��, ��`I — <br /> State License Number Contrad Pri:e of Work <br /> Wi[,GvxS F{a�.aw SKaZ t�r,rz�c �y,vr flclsua+�+ti�y��35rJ-y933 <br /> Proposc�tl lJse of Builaing Gontad Person (Plan Revlew) <br /> Description of Work to�e Done� C�I.eG'T7t�CZl, S�z��ee � Livr+�t �"'az. ►.is�,...r SKa� F�r�K <br /> �r �,.,�t,��r,r s Nou.o�•l <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREU TO FEE <br /> [3E IN RACEWAYS, MC OR AC CABLE. � � I� � I � �� <br /> CI;Y OF EVERET7 LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify lhat I have read and examined this applicafion and know the same to be true and <br /> conecf. AIl provisions of la�vs and crdinances goveming lhis type ot wo�k will be compfeted <br /> whefherspECfied herem or ncL Th,a grantinQ of a pr,rmd does nofp iesume!o give aulhonry to <br /> violofe or concel the provisions of any other state oi local!aw re,qulatiny consWction or the <br /> pertortnance olconstrucfio.o. that I am authorized by fhe owner of this properry to pedonn fhe <br /> work for whir.h application is matle and!ccmpty with the Stafe Cartracfors Law 18.27 RCW and <br /> 296200 WiiC. <br /> /�/��, C i��(�.� a�/iv/o� <br /> " '9g�a:are Da1e <br /> �- �'�' � i C (; <br />