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425-355-1610 35:03a.m. 09-18-2017 Z/2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> ------_ <br /> PROJ T SITE��NFORMATION <br /> PROJECT ADDRESS: 3003 W2St C8SIC10 ROaCI 0-15 <br /> BUILDING AREA(if residential, new construction,remodel,or a ifion)/ SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: BOClflg COI"T1Il'12fC18� <br /> ELECTRICAL APPLICATION INFORMAT�ON <br /> CONTRACT PRICE OF WORK: $ 750.00 <br /> NUMBER OF DEVICES (if low volta e : <br /> FIRE ALARM? O YES � NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: Wiring roll up door <br /> CONTA,CT INFORMATION ` <br /> OWNER NAME: The Boeing Company TENANT NAME(If Commercial): The Boeing Company <br /> OWNER MAILING ADDRESS: sTReer PO Box 3707 MS 1 F09 <br /> cir. Seattle STATE WA ZiP 98124 <br /> OWNER PHONE: (425) 294-0514 OWNER EMAIL: <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. � <br /> CONTRACTOR ADDRESS: srReeT 1 24�7 MU{Cllt@O S�EedWBy /�1 70 <br /> c„,. Lynnwood srnTe WA ziP 98087 <br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: IIlfO@CIUt[011eleCtfIC.00171 <br /> coNrwacroR��c.#�REQuiREo�: DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O19S11 <br /> PRIMARY CONTACT: ❑OWNER Cl7 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425� 347-7600 <br /> Hugo Hernandez coNrACT ennAi�: info@duttonelectric,com <br /> AGREEMENT.•l hereby certi(y fhaf 1 have read and examined this application and know the same to be true and correct. AI!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 vio/ate or cancel the provisions of any other state or <br /> local law�egu/ating construction or the performance of construction. That I am authorized by fhe owner of this property fo pertorm the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> / � � PERMIT# <br /> � � .� � �,8- zo�� E �0�� ' ��0 <br /> wner/Authorized Agent Signature "" Date� (Revised 9/23/2016) <br />