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03/lo/'O15 hON '0: 00 PAR G253551610 duttnn canon �00^_/00: <br /> ,�. . . . ___—__.______—.- -. —. _. _'___._ _—____'__ .__, <br /> I ELECTRICAL P�RMIT APPLICATION � <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> I 3200 CEDAR STREET, EVERETT, VJA 98201 ' <br /> �' 1506 425-257-6810 - FAX n25-257-8657 - vn•rr�.everettv+2 org i <br /> � ��503-�� i <br /> 3 ,..i�-!S � <br /> 1800 41 ST STREET I <br /> — � <br /> PROJECT ADDRESS <br /> 1800 41st STREET LLC 1800 41st STREET STE 210 EVERETT WA/9II203 <br /> O�vner M11ai!qtlCreS: c,:y Siaie�Lo Phone <br /> THE EV[RE� CLIN[C 3901 HOl? AVE EV[REl-f WA/98201 (425 259-0966 I <br /> Tenant t.ta�iAdOress C��y S�ale/LF °^�ne � <br /> � <br /> I <br /> Dutton Eleclric Company Inc. 12407 Mukiiteo Speedway. A-170 Lynnwood WAl98087 425 3a7-7600 � <br /> Electrital ConVaetor !,7ad�daress Gry Siaterz�; Pnene � <br /> i <br /> DIJTTOEC 137P� 019811 � <br /> State License NumGer(reqwred) Cdy of Everelt Fusiness L�cense Numper(requred) <br /> � NIEUICAL __S6P,337.00 <br /> Propose0 Use of Build�ng C,:n;-act Pnce c!Work � <br /> Dave McLaughlin (425) 359-4933 I <br /> Square Footage pf residential new co❑sr:�cbon, remotlel or atltl.bonl Ccntacl Pzrson�Contact Number/Ema�l <br /> I <br /> ' Number ol devices Q!low vol:age) <br /> Descrip(ion ol Work to Be Dcne TENANT IMP20VEMENT <br /> F[E <br /> CITY OF EVERETT LOCAL SALES TAX CODL IS J105 f D� n O� <br /> l �/ <br /> I he�eby cerfdy f/rat I h�ve �oad ond cxam�ned fh;s application and knowlhe same fo Ga bue end <br /> co�recl. all picvisions ollav�s an0 ordmances qoveming Uris type ol work�wll bo cemploted -�--- <br /> whefher spcaLed heroin ornoL The gran(ing o�a pnrmif doas nol piesumo to givo aulhonty to PERM1IITF <br /> wofale or canca!fhe provisions ol any ofher sfatn prlocal law regulafing constrvc6en or the ^ I��� — D�� <br /> peAormance ul consf�uc6on ?haf 1 am authonzod by fho owner o/fhis propoRy fo perlwm Iho t <br /> work lur whrch appGc�fion rs mado and I comply :vifh the Stafo Confraclors Law 7827 RCt4�and <br /> 296.ZQ0-WR^ <br /> c� �` ���is�li��C v 03/16/2015 <br /> � SgnaWre Da1e <br /> i dE�a5EDF6tY.of1 — . .___� <br />