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OB/15/2010 SUN �2: C9 PAX 4253551610 dutkon canon 0002/002 <br /> l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM �ob GC10-E3U <br /> 3025 Rucicer Avenue <br /> PROJECT ADDRESS <br /> THE[VGR[TT CLINIC 3901 HOYi AVGNU[ CVLR[iT WN98201 (425�259�09fiG <br /> Owner ldailACCie55 Ciiy Slale/Zip phone <br /> SAMG AS AOUVE <br /> TCnant Nail Atltlress Cily State�Zip Phone <br /> Fa:c: (425) 355-1G10 <br /> Dutton Electric Company 12407 Mukilteo Speedw�ay A-170 Lynmvood, WA 98087 (425)347-7G00 <br /> EIeClricalConlraclof MailAtltlress Cily Slale/Zip Phone <br /> DUTTO[C137P3 $6,025.4G <br /> State License Number Contract Price of Work <br /> P1edical O(fice DAVf M (425)359-4933 <br /> Proposed Use ol6uiiding Contact Person (Plan Review) <br /> Descriplion of Work l0 6e Done: New 200aiuu uancl & HVAC snlit system (or Conun Room <br /> I IOTE: 1NIRING IN NON-DWELLINGS IS REQUIR[D TO FEE$ <br /> BE IN RACEWAYS, A4C OR AC CABLE. <br /> � �. S. '�-�7 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereGy ceiL/y lhat I l;nve read end examinod fhis apPlice(ion and know Ihe same fo Ue 6ue ind <br /> correcL All provisions ollaws nnd orainances govommg this fype ol u�orY irill be complefed <br /> r-hether SpecJied herein or noL �he grantin�of a pernuf does nof presume fo give authority fo <br /> violutc or cancel!he provisiuns o7 any other stato or locol la�r regulating consfrucfion or fhe <br /> perlwnranc�ol consfruc6on. Thaf I am aulhonzed Gy the o�rner ol this propetly to pedonn fhe / <br /> �vo�k!or�rh�ch applicaLon is m,�dc antl I tomply�vifh tho Sfate Con(racfors Laiv 7L27 RCV✓and � I� � / <br /> <^9/62qD.V�r� j <br /> C � /� <br /> � fl 1G 2010 /L <br /> s�ni,awre oa�e <br />