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03/04/2016 FRI 13: 56 FAX 4253551610 dutton canon lI002/002 <br /> 4110 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 3003 WEST CASINO ROAD BLDG 40-58 <br /> PROJECT ADDRESS <br /> BOEING COMPANY PO BOX 3707 MS 1 F 09 SEATTLE WA/98124 425-294-0514 <br /> Owner Mail Address City State/Zip Phone <br /> SAME AS ABOVE <br /> Tenant Mail Address City State/Zip Phone <br /> Dutton Electric Company, Inc. 12407 Mukilteo Speedway. A-170,Lynnwood WA/98087 (425)347-7600 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> DUTTOEC137P3 019811 <br /> State License Number(required) City of Everett Business License Number(required) <br /> BOEING $10,000.00 <br /> Proposed Use of Building Contract Price of Work <br /> JEREMY ABBOTT 425-356-7406 <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done; Safety System Installation 54- (-(o0 v' VC.t'Iohti rIe_4( Lo ywP kfc,k ,t.es. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 Z- O <00 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the !1 <br /> performance of construction. That lam authorized by the owner of this property to perform the E ( Lao 3-iJ 3 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.2�AC <br /> �" 03/04/2016 <br /> —Signature Date <br /> REVISED 08/06/2014 <br />