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416-77 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ,PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1 1 1 1 80th Street SW Suite 100 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Manufacturing '' <br /> ,r gatiriteleArVittitATION INFORMATION <br /> CONTRACT PRICE OF WOR • $ 3730.00 <br /> NUMBER OF DEVICES (if low oltage): <br /> FIRE ALARM? ❑YES ® NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Install new circuit for freight elevator, 2-480v 30A circuits, 1-20A 480V circuit, 2-120v <br /> outlet circuits, 2-120 heater circuits 120V. <br /> CONTACT INFORMATION <br /> OWNER NAME: Jamco America TENANT NAME(If Commercial): Jamco America <br /> OWNER MAILING ADDRESS: STREET 1111 80th St SW STE 100 <br /> clTv Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: Warren_pike@Jamco-america.com <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. <br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170 <br /> CITY Lynnwood STATE WA ZIP 087 <br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: Info@duttonelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIR D): 019811 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-361-6207 <br /> Andrew Piccini CONTACT EMAIL: andrew.piccini@duttonelectric.com ' <br /> AGREEMENT I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Digitally signed by Pelta Smhh <br /> P e i t a Smith DN G=US E=peita@duttonelec ric Com OU- O=DECO CN=Pelta y <br /> sm 1 � <br /> ReaBon.I am approving this document <br /> bale:2017.'12.05 14-.11:54-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />