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425-355-1610 "- 39.14 a.m. 01-13-2017 2/2 <br /> __ECTRICAL PERMIT AFrLiCATION <br /> CITY OF EVERE I i PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.govlpermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3927 Rucker Avenue <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ESFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Il COMMERCIAL <br /> USE OF BUILDING:+ Medical Bldg. <br /> r ECTIIIICAL.APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: 3$00.00 <br /> 7 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES NI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Running 3/4 EMT raceway f r security camera's. <br /> 0. <br /> CONTACT INFORMATION <br /> OWNER NAME: The Everett Clinic TENANT NAME(If Commercial): The Everett Clinic <br /> OWNER MAILING ADDRESS: smeEr 3901 Hoyt Avenue <br /> stn. Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 475-759..0966 OWNER EMAIL: N/A <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. <br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway.A-170 <br /> crly T ynnwnnrl STATE WA ZIP 98087 <br /> CONTRACTOR PHONE:(425) 347-7600 CONTRACTOR EMAIL: info@rl►tttnnelectric corn <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854 <br /> CONTACT EMAIL: brad(u'�,duttonelectric.com <br /> AGREEMENT::T hereby 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 <br /> type of work will be completed whether specified herein ornoL The granting of a permit does not presume to give authority to violate or cancel the previsions of any other state or <br /> local law regulating construction or the performance of construction. That lam 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 295.200 WAC. <br /> City of Everett Oficial Use Only <br /> FEE <br /> PERMiT# <br /> Lo_ i —� �/ .I 01/13/2017 E , ,C) . <br /> dwner/Authorize. •gen/Signature Date (Revised 10/1212015) <br />