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OG/2G/2U09 PxI 10:46 PAY 4253551610 dutton canon <br />m002/00� <br />ELECTF�ICAL PERMIT APPLICATiON <br />CITy OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, [VERETT, WA 98201 <br />425-257-6810 - FAX425-257-8857 -wvnv.evereftwa.org � ��� �-�� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C D�Q 6-( <br />Jordon Bldg4'l0'L IloytAvenuc <br />PROJECT ADDRESS <br />'1'he Bvcrett Clinic 3901 Ilovt Avenue I:vcrett WA/987.01 (425)259•09G6 <br />Owner ldail Autlress City State2lp pnone <br />Samc �s above <br />Tenant fJailAddress <br />City <br />Slate/Zip Phone <br />Pax: (425)355-1610 <br />Dutton Electric Compan�12407 Mukilteo Speedway, A-170 Lyrnwood, WA 98087 (425)347-7600 <br />ElectricalContractor tdailAdtlress Cily Slate2ip Phone <br />GUTTOEC137P3 <br />Stale Llcer�se Number <br />Medical 6usiness Office <br />Proposed Use o( Building <br />oescriPt�on otwork �o ee oone: Power to new IIVAC unit <br />NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br />$1,137.96 <br />Contract Price of V✓ork <br />Davc M.(h25)359-h933 <br />Gontact Person (Plan Review) <br />I hereGy certily thaf I have read mrd enamined (his applicafinn and Fno�v the same to be true and <br />con�ct. AIl prowsions olla�vs and ordinances govem�ng fhis type ol work r�ill be compfe(ed <br />�+hether specihed (icrein or noL The grantinp ol e pennif does nof presurne lo give aufhorily to <br />rio/ate oi cancel the provisions ol any ofhor stala or local law regulafing construcfion or lhe <br />/�edormance o( consfiucf�on. Thaf I am authorizeo by fho o�ti�ner ol fhis properiy fo pe�form fhe <br />r. ak lor �vhich applicafion is made and I comply �vdh fhe Sfate Contraclors L�c� 1827 RCl^✓ and <br />� iF �liR�tl�DiC <br />FEE $ <br />rU`i rYc� " I 2� I <br />