1728 W MARINE VIEW DR EVERETT CLINIC 2017-06-21

425-355-1610 03:30:08 p.m. 11-09-2016 2/2 CTRICAL PERMIT AP. -ICATION 4--7T CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits . a , PROJECT SITE:INFORMATION PROJECT ADDRESS: 1728 W. Marine Drive BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 121 COMMERCIAL USE OF BUILDING: Medical Bldg. L TRICAL APPLICATION INFORMATION. CONTRACT PRICE OF WORK: 973.00 NUMBER OF DEVICES if low vola e FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: Tenant improvement to a lunchroom in the Behavioral Health Clinic CONTACT INFORMATION OWNER NAME: The EVerett ClinirTENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 3901 Hoyt Avenue p cn'y STATE WA zip 98201 OWNER PHONE: _ OWNER EMAIL: N/A CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: S-EEr way.CfIY STATE W A ZIP 98087 CONTRACTOR PHONE: 425 347-7600 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED 019811 PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854 CONTACT EMAIL: brad duttonelectric.com AGREEMENT:Thereby 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 type of work will be completed whether specified heroin or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance or construction. That I am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 286.200 WAC. City of Everett Official Use Only FEE .1"Ac . 6C( PERMIT# i 1,02,2016 E ��o c f� 9 weer/Authorized Agent Signa ure Date (Revised 10/12/2015)