Laserfiche WebLink
O1/09/2011 SUN 20: 67 PAX 4253551610 dutton canon 0002/002 <br /> � <br /> ELECTRICAL PERMiT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT',WA 96201 ! —�G'I� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � . _��7 <br /> , i/�-i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �ob EC10•DI <br /> 3025 RUCKER AVE <br /> PROJECTADDRESS <br /> THE EVEftETT CIINIC 3901 HOVT AVEtJUE EVERE7T WA/98201 (425)259�Od66 <br /> OWner Mai�Addrecs City SlatefLp Phone <br /> SAME AS ABOVE <br /> Tenant MailAtldress Ciry Scatc/Zip Phonc <br /> Fax; (425) 355-1G10 <br /> Dutton Eleciric Company 12407 Mukilteo Speedway, A-170 Lynnwood, WA 98087 (425)347-7600 <br /> Electrical Contractor Maii Add�ess City Stale2ip Phone <br /> DUTI'OEC137P3 $3,461.09 <br /> Slale License Number Coniract Price o(Work <br /> n�C(�ICd� ��I1CC DAVEM (G25)359�d9J3 <br /> Proposed Use of Duiltling Contad Person (Plan Review) <br /> oescnplion or Work to oe oone: P�'cU-Soiled UtiL'tv HVAC Un�i'ade <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE$ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> / U� .3� <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cert�5�lhat 1 hm�e read end exemined fhis epplicafion and Ano�v fhe same to be true end <br /> carac(. Alf provisions o/Imvs and ordin»nces�ovemmg fhis type of work�rill be completed <br /> whether specilied herein or nof. The grant;no ol a permd does nof-�esume to give autY,onty to <br /> violefe or cancel fhe pravisions o/any other sfafe or local lew regm_..:ng wnstruction ar fhe <br /> pedo�mance o/consfruchon. That I em eufhoiized by the o�vner ol this property to peAorm the <br /> �rork!u��vhich applicafion is made end 1 cbmpty a•ith the Sfafe Contractors Letv 18,27 RCW and <br /> `C � � �,' �,��� <br /> fa��� ;�\ i/io/zoii �� p I - pa� <br /> SpneturC " Oatc <br />