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12/01/2015 10:49 2062911500 PAGE 01/01
<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
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<br /> PROJECT ADDRESS: 1800 41st Street •
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX Q MULTI-FAMILY-#OF UNITS: Cel COMMERCIAL
<br /> USE OF BUILDING: Medical
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<br /> CONTRACT PRICE OF WORK; $ 20707-00
<br /> NUMBER OF DEVICES(if low voltage 57
<br /> FIRE ALARM? K]YES ❑NO
<br /> ASSOCIATED BUILDING PERMIT# if a•.licable :
<br /> DESCRIPTION OF WORK: a.,• e. ' - .. - u -u e■ — :
<br /> South Tower 5th Floor. Joint venture between SimplexGrinnell & Dutton
<br /> Electrical Co.
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<br /> OWNER NAME: Everett Clinic TENANT NAME(If Commercial): The Everett Clinic
<br /> OWNER MAILING ADDRESS: STREET 1800 41st Street
<br /> CIrr Everett STATE WA ZIP 98203
<br /> OWNER PHONE: 425-252-0139 OWNER EMAIL:
<br /> CONTRACTOR NAME; Dutton Electric Co. Inc.
<br /> CONTRACTOR ADDRESS: sTas.s-r 12407 Mukzlteo S•eedwa , Suite A-170
<br /> ciT' Lynnwood STATE WA zip 98087
<br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL:
<br /> •n!: ,.an,r•- - e - . • • CITY OF EVERETT BUSINESS LIC.#REQUIRED); 6010 527 01
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<br /> PRIMARY CONTACT: l]OWNER ❑CONTRACTOR ®OTHER(Please Specify) SiraplexGrinnell
<br /> CONTACT NAME: Janet Stebbins CONTACT PHONE: 206-291-1468 i
<br /> CONTACT EMAIL.: la s tebbinses exgri nne11.coon
<br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true end correct. Alf provisions of laws and ordinances governing this
<br /> 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
<br /> local few regulating construction or the performance of construction, That I em authorized by the owner of this property to perform the work for which application is made and!
<br /> comply with the State Contractors Law 18,2T RCW and 286200 WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> 41-1D
<br /> PERMIT#
<br /> 6Arl--()17
<br /> iter/A'orizedA entSignature Date (Revised Ial2/20!5)
<br /> aal 74 - -
<br />
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