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47.7 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 1407 80th Street SW <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Manufacturing <br /> ELECTRICAL APPLICAllON INFORMATION <br /> CONTRACT PRICE OF WORK: $ 5000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES I I NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Power to Chiller <br /> CONTACT INFORMATION <br /> OWNER NAME: Achilles USA TENANT NAME(If Commercial): Achilles USA <br /> OWNER MAILING ADDRESS: STREET 1407 80th Street SW <br /> clTv Everett STATE WA vp 98203 <br /> OWNER PHONE: 425-438-4648 OWNER EMAIL: tmorgan@achillesusa.coom <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. <br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170 <br /> CITY Lynnwood STATE WA ZIP 98087 <br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: info@duttonelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 <br /> PRIMARY CONTACT: ❑OWNER l CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-238-5514 <br /> Jerry Drake CONTACT EMAIL: Info@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 lam 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 /> FIIy signed by Peita smith PERMIT# <br /> P e i t o Smith US E=peita@duttonelectriacom OU- O=DECO 110L-1- <br /> 0 t— 9,0'4 I <br /> 3„ �Aeda Smilh E �.Iyl <br /> eonattest to the accuracy and integrity of this document <br /> 2018.04.27 142455OT00' <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />