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07/29/2015 wED 12:03 FAx 4253551610 dutton canon <br />� <br />� <br />ELECTRICAL PERMlT APPLICATION <br />1515 <br />4027 HOYT <br />PROJECT ADDRESS <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 />THE EVERETT CLINIC 3901 HOYT AVE <br />Owner Mail Address <br />SAME AS ABOVE <br />Tenant Mail Address <br />EVERETT <br />City <br />City <br />f�ooa/ooa <br />WA/98201 (425)259-0966 <br />State/!ip Phone <br />StatelZip Phone <br />Dutton Electric Company ]nc 12407 Mukilteo S�eedway, A-170 Lvnnwood WA/98087 �25)347 7600 <br />Electrical Contractor Mail Address Ciry State/Zip Phone <br />DUTTOEC1'�7P� <br />State License Number (required) <br />MEDICAL <br />Proposed Use of Building <br />Square �'�otage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />019811 <br />City of Everett Business License Number (required) <br />$92,736.00 <br />Contract Price of Work <br />Dave McLaughlin (425) 359-4933 <br />Contact PersoNContact Number/Email <br />Description of Work to Be Done: T�11aElt I�ilpt"pVEll'1@Ilt f01" I�eW Pdlll C�InIC <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3795 <br />I hereby ce�tify ihat l have read and examined ihis applicafion and know fhe same fo be true and <br />co�rect. All provisions of laws and ordinances governing this type of work will be completed <br />whefher specified herein or not. The grantir,g of a perrnit does not presume to grve autho�rty to <br />violate or cancel the provisions of any other state or local law regulating construcfion or fhe <br />perfo�mance of construction. That l am autho�ized by fhe ownerof fhis property to perform the <br />wo�k for which applicafron is made and I complv wifh fhe State Cont�actors Law 1 R 97 RCw an� <br />REVI SED OHi0GI�074 <br />FEE �� <br />I � C� -- <br />PERMIT# <br />E � 5 07 -� ��.y- <br />