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10/25/2013 FRI 15: 25 FAX 360 805 0287 MILNE ELECTRIC 11018/020 <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—www.everettwa.org <br /> 3003 W. Casino Road, Everett, WA <br /> PROJECT ADDRESS <br /> Boeing Company PO Box 3707 Seattle WA 98124 <br /> Owner Mail Address City State/Zip Phone <br /> Same <br /> Tenant Mail Address City State/Zip Phone <br /> Milne Electric Inc. 14582 172nd Dr SE,#1 Monroe WA 98272 360-863-9617 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> MILNE3I101 PN I ,/r-4 /..? <br /> State License Number Contract Price of Work <br /> Manufacturing John Trombley 206-786-6122 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Ivan Rybachull 425-367-7801 (Boeing <br /> contact) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: RFID Scanner Receptacles 4'9 --Q2 <br /> __._...._.................................._....._._._.. __ ..............................................................._.._........_.............._..._.. — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '* 2SQD m <br /> 1 hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the ( 0 (� <br /> performance of construction. Th i amd authorized by the owner of this property to perform the <br /> work for whicl application is m e and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 W <br /> • • 441111/ /69/a? y <br /> Signatu,- Date <br /> REVISED 3/20/13 <br />