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477 • <br /> 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: 10901 27th Ave SE <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: School <br /> L cTRIcALAPPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 21000.00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ® NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Installation of one portable classroom building <br /> DESCRIPTION OF WORK: <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett School District#2 TENANT NAME(If Commercial): Same <br /> OWNER MAILING ADDRESS: STREET 3900 Broadway <br /> CITY Everett STATE WA Zip 98201 <br /> OWNER PHONE: 425-385-4193 OWNER EMAIL:jstoffel@everett.wewdnet.edu <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: 428-347-7600 CONTRACTOR EMAIL: info q©duttonelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-308-5308 <br /> Jeremy Jensen CONTACT EMAIL:jeremyj©duttonelectric.com <br /> AGREEMENT:I hereby certify that/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 /> Digitally signed by Peita Smith PERMIT# <br /> Peita Smith AN C US,E=pelta@duttonelectric.com,OU "', <br /> . E 008 011.16 13'41:44-08'00'1_ <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) �� <br /> L-1 -7,1(3 <br />