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O1/14l2013 HJN 15: 59 PAX E�53551610 dutton car.on <br /> mooz/ooz <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 � <br /> 425-25'-8810 - FAX 425-257-8857 —ww�a everelhva.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (�C12-I3V <br /> 3��i <br /> �20�}tucker Ave ('I'rask Surgcry Cencer) <br /> PROJECT ADDRESS <br /> THE EVERfTT CLINIC 9901 HOYT�VFNUE [VER[TT WFJ98201 (425)259-0566 <br /> Owne� hlail Address Cny Stalr2�p Phone <br /> SAME�S ABOVf_ <br /> Tenant M11ailAddie55 Cily S::+te/Zip ' PhOne <br /> Fax: (425) 355-1610 <br /> Dutton Electric Company 12407 Mukilteo Speedway, A-170 Lynnwood WA 98087 (425)347-7600 <br /> EICCVicalConUaCtor t.tailnddress City StaleQ�p Pl�one <br /> DUTTOEC137P3 525 491.00 <br /> Slale Li[ense N�mbrr ConUact Price of Work <br /> DAVE A1 (a25)359-4933 <br /> Mcdical Officc <br /> Proposed Use of Building Contacl Person (Plan Revievr) <br /> Description of Work lo Be Done� OpCratlnR Room HVAC UpF;rade <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE $ <br /> BE IN RACEWAYS, MC OR AC CAl3L[. <br /> �-8a 5 0 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heieGy coRily thaf I'rave read and examinad this applicafion and hno�v the same to Ge bue and C I�G� �D/_/., <br /> conecf. All provis�a�;:o!Imvs and oidinances guvemmg thrs rype o7�vorh�rdl be complefed G � l(/l(/ <br /> r:hefhcr spealied herorn or noG The gran6nc�o/a permrt u'oes not presume fo gira authonty lo <br /> violafe or cancol the provisions ol any olher stafe oi local law reguiating construction or(ho <br /> paAormance ol consfruclion. Tha(I dm aulhoiizetl by Poe o�•:ner ol7his pruperly to perfo�m Ihe <br /> work lor which appliCafion is made and I comply��-�Ih thc Sf.vfo Confiaclors Law 79 2i RCW and <br /> 2se zoo�v9a� <br /> / ��,�� ) <br /> � �.������ �//� � � 7/1�/2013 _ <br /> �� nalurc Date <br /> � <br />