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425-355-1610 0 0:29 a.m. 12-30-2016 3/3 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 j (E) everetteps@everettwa.gov j www.everettwa.gov/permits <br /> PROJECT SITE INFORMATIO <br /> PROJECT ADDRESS: 3003 West Casino Road Building 40-11 ! or H <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF- - <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Boeing Commercial <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ $20,000 <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES ONO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: Replace old control panels with new upgraded controls. Using old and new circuits. <br /> CONTACT INFORMATION <br /> OWNER NAME:The Boeing Company TENANT NAME(If Commercial): The Boeing Company <br /> OWNER MAILING ADDRESS: ,,= PO Box 3707 MS 1 F09 <br /> any 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 srATE WA z8 98087 <br /> CONTRACTOR PHONE: (425) 347-7600 CONTRACTOR EMAIL: info@duttonelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 1CtTY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-409-4854 <br /> Brad Morin CONTACT EMAIL:brad@duttonelectric.com <br /> AGREEMENT:I hereby car*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 <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 ofany other stale or <br /> local law regulaSng construction or the performance of construction. That I 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 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/Au horized Agent Signature Date (Revised 9/23/2016) <br />