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01/05/07 FRI 08:58 FAX 425 355 1610 DUTTON ELECTRIC x001 <br /> J' <br /> ELECTRICAL PERMIT iAPPLICATION <br /> CITY OF EVERETT PERMIT'SERViCES <br /> 3200 CEDAR STREET, EVERETT, 'NA 98201 <br /> 425-257-8810 - FAX 425-257-•3857—wyrw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM I3 AM TO 4 PM <br /> PROJ ECT ADDRESS <br /> 300 1 C sIN:4 ,� _ 1iEI2 � �,u/� ISZO 3 <br /> Owner Mail Address City State/Zip Phone . <br /> Tenant c' Mail Address <br /> 'City Staterzip Phone <br /> �i��or✓ � cTl�! C.D �7�D�- Y� �D ��l�.lJYr4-��D �-,��NGt1d <br /> Electrical Contractor Mail Address 'City State/Zip <br /> L12,5-9pq'&e 0 <br /> State License Number Contract Price of Wcrk <br /> J—),e / <br /> Proposed Use Of Building <br /> Contact Person (Plan Review) <br /> Description of Work to Be Done; <br /> ca <br /> NOTE: WRING IN NOWDWELLINGS IS REQUIRED TO F� <br /> BE IN RACEWAYS, MC OR AC CABLE. d <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify that I have read and examined this application and know the same t0:be true and <br /> correct. All provisions of laws and ordinances govermng this type of work will be Cori pleted <br /> ru <br /> whether specified herein or not. The granting of a permit does riotresume to give authority to <br /> violate or cancel the provisions of any other state or local law regulating F:onstruotiom or the <br /> performance of construction. That/am authorized by the owner of this property to p rform the <br /> work for which application is made and 1 comply with the State Contractors Law 98.2.'RCW and <br /> 296..9 AC. <br /> na re " <br /> ate <br /> I / <br />