3901 HOYT AVE EVERETT CLINIC RADIOLOGY 2019-09-23

� ,/P,—� ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov i .everettwa.gov/permits - i'..JE ■ I�ir: y � PROJECT ADDRESS: 39 ''Rucker Ave y r BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Ca COMMERCIAL USE OF BUILDING: Medical Bldg. 40 ELEG1RI PILt1C ® ,!N► MAN , a..... . ...,�... ...> ��_h.��a � - sem....-. CONTRACT PRICE OF WORK: $ 4,773.69 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES III NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Extending 2 outlet circuits and lighting - ( D(05� - LOQ t-e.4/e/l JOB EC1848 r CQNt11CTIN 0.... T iDN a OWNER NAME: The Everett Clinic TENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 3901 Hoyt Avenue CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-259-0966 OWNER EMAIL: N/A CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A- 70 CITY Lynnwood STATE WA ZIP 98087 CONTRACTOR PHONE:(425) 347-7600 CONTRACTOR EMAIL: info fo@duttonelectrie.com CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811 PRIMARY CONTACT: 0 OWNER 4 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854 CONTACT EMAIL: brad(xa?,duttonelectric.com AGREEMENT'T hereby certify that I have read and examined this application and know the same to be true and correct. Ali provisions of laws and ordinances governing this type of work will be completed whether specked 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 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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE ‘ 'b ' ' ‘,12- EDially signed by Peita Peita at : 2018.12.04 �_ b)--q E 1 C61 Owner/Authorized Agent Signature Date (Revised 10/12/2015)