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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 /> PROJECT SITE INFQRMATION <br /> PROJECT ADDRESS: 3003 WeSt CaSlnO ROad Bldg 40-15 S-2 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> use oF aui��iN�: Boeing Commercial <br /> EI.ECTRICAL APPLICATION INfORMATION <br /> CONTRACT PRICE OF WORK: $ 500.00 <br /> NUMBER OF DEVICES if low volta e : <br /> FIRE ALARM? ❑YES m NO <br /> ASSOCIATED BUILDING PERMIT# if a licabte : <br /> DESCRIPTION OF WORK: WIRE IN NEW ROLL UP DOOR OPERATOR <br /> CONTACT INFORMAT[ON <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 /> cin, Seattle STATE WA ZiP 98124 <br /> owNER PHONE: (425) 294-0514 OWNER EMAIL: <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. <br /> CONTRACTOR ADDRESS: srReeT 12407 Mukilteo Speedway A170 <br /> cin, Lynnwood srnTe WA ziP 98�87 <br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: 111f0 C!C1Utt011212CtfIC.COt11 <br /> coNTw4cTOR�ic.#�REQuiREo�: DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O'I9H'I'I <br /> PRIMARY CONTACT: ❑OWNER 171 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-599-5410 <br /> Andy Kisch CONTACT EMAIL: info@duttonelectric.com <br /> AGREEMENT:1 hereby certify that I have read and examined this application and know the same to be true and correct. A/l 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 pertormance of construcfion. That 1 am authorized by the owner of this property to pertorm the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 W,4C. <br /> City of Everett Official Use On/y <br /> PERMIT# <br /> pi�@Ily gnetl by Pe la Sm-lh <br /> P�I 1� /��I�1 �� US E=pe IaQOuttoneleclnc com OU O=DECO,CN=Peita r ��� � � <br /> y L' Y\ L <br /> < � � � �H aso i�m�Pnro��9 m s ao��m��� <br /> ........:D9NB•::201 R.02.23 13 43 39-OB 00 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />