1717 13TH ST FLOOR 3 EVERETT CLINIC 2021-09-08

gP.ECTRICAL PERMIT APItICATION �;- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits „i n�....�:•, ��®. �...n r. \.ac.��:. i.. ..>,.....:'.. � -.:� .. ,... � ... �w��l..ea.A� ..aa a.\'.� S t. ./S,Je�.,. ,��.' �j�yJ9i'. PROJECT ADDRESS: 1717 13th Street 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: IX COMMERCIAL USE OF BUILDING: Medical Bldg. �..,....'\a•,i t�_.x�::. s .� �.:z3X. t�'i ��rS��tb�yh' _ � � ��x�y: �� t�HF;2 T.�%1��. CONTRACT PRICE OF WORK:$ 2,258.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES I1 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: injection room, demo and adding 2 outlets and 1 emergency light. (Job EC1806) �....... OWNER NAME: Community Cancer Center TENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 1717 13th ST CITY Everett STATE VY`_' A ZIP 98201 OWNER PHONE: 425-259-0%6 OWNER EMAIL: N/A CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170 CITY T.ynnwcnri STATE WA ZIP 98087 CONTRACTOR PHONE:(425) 347-7600 CONTRACTOR EMAIL: infc,@duttonelectric.com CONTRACTOR LIC #(REQUIRED) U OEC137P3 CITY OF EVERETT BUSINESS LIC #(REQUIRED) 019811 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854 CONTACT EMAIL: brad(dduttonelectric.com AGREEMENT'T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type 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 local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and f comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 0 . 2-L ! signed by Peita Smith • aJ, US,E=peita@duttonelectric.com, Peito O=aDttEeCstOto,CthNe=aPcecituarSmy and PERMIT# Islyiot 018.of t03.his document0609E �O l :13:26-08'00' ` Owner/Authorized Agent Signature Date (Revised 10/12/2015)