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425-355-1610 011E44 p.m. 03-10-2017 2/2
<br /> °.1704'
<br /> ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
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<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: 1110 Poplar Street
<br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IX COMMERCIAL
<br /> USE OF BUILDING: Offices
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<br /> CONTRACT PRICE OF WORK:$ 20,000
<br /> NUMBER OF DEVICES()f low voltage):
<br /> FIRE ALARM?
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Installation of portable office building
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<br /> OWNER NAME: Everett Public Schools TENANT NAME(If Commercial);Everett Public Schools
<br /> OWNER MAILING ADDRESS: STREET 3900 Broadwa
<br /> CITY Everett STATE WA ZIP 98201
<br /> OWNER PHONE: 425-609-0400 OWNER EMAIL:
<br /> CONTRACTOR NAME: Dutton Electric Company,Inc.
<br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170
<br /> Cr:r l.ynnwnncd STATE WA ZIP 98087
<br /> CONTRACTOR PHONE: (425) 347-7600 CONTRACTOR EMAIL: info@)ditttnnelectric corn
<br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC 137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811
<br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854
<br /> CONTACT EMAIL: info@duttonelectric.com
<br /> AGREEMENT:T herby certify that I have read and examined this application and know the same to be true and correct. All 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 law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application Is made and i
<br /> comply with the State Contractors Law 18.2T RCW and 298.200 WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> PERMIT#
<br /> 03/10/20 17 E o3- crl c
<br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015)
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