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425-355-1610 0f:07 a.m. 12-30-2016 2/3 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/p6rTpits <br /> PROJECT SITE ]INFORMATION <br /> PROJECT ADDRESs: 3003 West Casino Road Building 40-46 <br /> BUILDING AREA(if residential,new construction,remodel,or addilion) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNIT : O COMMERCIAL <br /> USE OF BUILDING: Boeing Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ $50,000 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES ONO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Adding conduit runs and power/controls to the new wing jacks <br /> CONTACT INFORMATION <br /> OWNER NAME:The Boeing Company TENANT NAME If commercial): The Boeing Company <br /> OWNER MAILING ADDRESS: sm= PO Box 3707 MS 1 F09 <br /> ,,,, Seattle STATE WA ZIP 98124 <br /> OWNER PHONE: (425) 294-0514 OWNER EMAIL: <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. <br /> CONTRACTOR ADDRESS: 12407 Mukilteo Speedway, A170 <br /> cm Lynnwood STATE WA zj�- 98087 <br /> CONTRACTOR PHONE: (425) 347-7600 CONTRACTOR EMAIL: infoOduttonelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): DUTrOEC137P3 ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 <br /> PRIMARY CONTACT: ❑OWNER O CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-409-4488 <br /> Tom Zybtek 1CONTACT EMAIL:tomz@duttonelectric.com <br /> AGREEMENT,/hereby certify that I have read and examined this application and know the same to be true and correct. Alt provisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors law 18.27 RCW and 296200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> OwnarlAuthorl en Signature Date (Revised 9/23/2016) <br />