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425-355-1610 55 p.m. 11-14-2016 2/2
<br /> Olc"' ECTRICAL PERMIT AFIRICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits
<br /> •_� PROJEC'I':SITE„1N,F.ORMATIQN -.
<br /> PROJECT ADDRESS: 1407 80th Street SW
<br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: aCOMMERCIAL
<br /> USE OF BUILDING: Offices
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<br /> CONTRACT PRICE OF WORK:$ 2,500
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? 0 YES ®NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: additional circuits
<br /> COITACT,'11NFORM
<br /> OWNER NAME: Achilles!ISA TENANT NAME(If Commercial): Achilles USA
<br /> OWNER MAILING ADDRESS: STREET 1407 80th Street SW
<br /> cm, Everett STATE WA ZIP 98203
<br /> OWNER PHONE: 425-931-9693 OWNER EMAIL:
<br /> CONTRACTOR NAME: Dutton Electric Company, Inc,
<br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170
<br /> cm, T_.ynnwnnrt STATE WA ZIP 9$087
<br /> CONTRACTOR PHONE:(425) 347-7600 _CONTRACTOR EMAIL: info duttnne1 rtric.corn
<br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811
<br /> PRIMARY CONTACT: 0 OWNER NI CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: Chris Roff CONTACT PHONE: 425-347-7600
<br /> CONTACT EMAIL: chris@duttonelectric.com
<br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be fare and correct. All provisions of laws and ordinances governing this
<br /> type 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 tam 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 298.200 WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> Ant5)
<br /> PERMIT#
<br /> dipEIto; I -03
<br /> Owner/Authorized • : Ignature Date (Revised 10/12./2015)
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