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O1/28/2010 THU 19: 97 FAX 4253551610 dutton canon �002/002 <br /> �LECTRICAL PERMIT APPLICATION <br /> C[TY OF EVERETT PERM[T SERVECES <br /> 3200 CEDAft STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 --www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 30"Z5 LOMI3ARD AVCNUG <br /> PROJECT ADDRESS <br /> CITY OF EVERE'I'T 3101 C�Dl�R S'('REE'I' EVERE'1"[' WA/98201 (4�25)257-8�10 <br /> Owner Mail Address City State/Zip Phone <br /> EVEfZE'I'T SEN[OR CEN`I'L'R 3025 LUMBARD AVENUE EVERETT WA 98201 <br /> Terant Mail Address City State/Zip Phone <br /> �'ax: (425) 355-.1610 <br /> Dutton Efectric Cornpany 12.407 Mukilteo Speedway, A-170 Lynnwood WA 98087 (425)347-7600 <br /> EIeCt�iC�l ConffaC'.or Mail Address Ciry State/Zip Phone <br /> DUTTOEC137P3 $45,730.00 <br /> State License Number Contract Price of Work <br /> SENIOR HOUSING ERIN GALLAGIiEIZ 4�25-530-�0£39 <br /> Proposed Use of Buiiding Contact Person (Plan Review) <br /> Description of Work to Be Done: REMODEL SERVICE CEN�I'E(Z <br /> NOTE: WIRING IN NOIV-DWELLINGS IS REQUIRED TO FEE $ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3905 <br /> I hereby certrfy fhat I have read and examined this applicafion and know the same fo be frue and <br /> correct. All provisions of!av✓s and ordinances yoverning fhis type of work will be completed <br /> whether specified herern or not. The granting of a perm�t does no(presume fo grve authority to <br /> violate or cancel the provis%ons of any ofhe�state or local law regulatin�construc(ion or the <br /> performance of cons(ruction. That l am aufhorized by the ov✓ner of this prvpe�ty to perform fhe <br /> work for which application is made and I comp/y with the Sfale Contractors Law 18.27 RCW and <br /> 296.20.O..LVA�< <br /> �_,—...'_ .�-,J ,/�''�._ ';� � ,�' � , � n (/ <br /> f �;�t��;{�,���f ' i ' 1/Z9/2010 j C' <br /> / Signature' � � �Date �� � <br /> ���, <br />