Laserfiche WebLink
01/23/2015 FRI 14: 49 FAX 4253551610 dutton canon 2002/002 <br /> 0 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> EC15-F 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 4027 HOYT AVE <br /> PROJECT ADDRESS <br /> THE EVERETT CLINIC 3901 HOYT AVE EVERETT WA/98201 (425)259-0966 <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 Mukilteg 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 /> MEDICAL $640.00 <br /> Proposed Use of Building Contract Price of Work <br /> Brad Morin (425) 409-4854 <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: _(2) NEW WORKSTATIONS <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �l <br /> l hereby certify that I have read and examined this application and know the same to be true and l <br /> correct. Al/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 E r <br /> performance of construction, That/am authorized by the owner of this property to perform the L�0 <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.2D6-VV1 .__ <br /> 01/23/2015 <br /> Signature Date <br /> REVISED 08/0CV2014 <br />