4027 HOYT AVE BASE FILE 2019-09-03

05/02/2014 FRI 9: 52 FAX 4253551610 dutton canon 0002/002 a 0 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857—www.everettwa.org APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM EC14-C 4027 HOYT AVE PROJECT ADDRESS THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT WA/98201 (425)259-0966 Owner Mail Address City State/Zip Phone SAME AS ABOVE Tenant Mail Address City State/Zip Phone Fax: (425) 355-1610 Dutton Electric Company 12407 Mukilteo Speedway A-170 Lynnwood WA 98087 (425)347-7600 Electrical Contractor Mail Address City State/Zip Phone DUTTOEC137P3 $1,370.00 State License Number Contract Price of Work Medical DAVE M (425) 359-4933 Proposed Use of Building Contact Person (Plan Review) Description of Work to Be Done: Adding receptacles to the Human Resources training room office NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE $ BE IN RACEWAYS, MC OR AC CABLE, 83 CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 l hereby certify that l have read and examined this application and know the same to be true and P I q ��—®� correct. All provisions of laws and ordinances goveming this type of work will be completed I whether specified herein or not. The granting of a permit does notresume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That/am authorized by the owner of this roperty to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 05/02/2014 Signature Date