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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 /> PRQJECT'S�TE IN�t?R�t1ATlta►N <br /> PRo�ECT,a��REss: 3003 West Casino Road Bldg 40-15 Door W-8 <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 BUILDING: BOEIng COCTIIII@ � <br /> ELEC RtCAI� APPLICATION INFORMATI�N <br /> CONTRACT PRICE OF WORK: 500.00 <br /> NUMBER OF DEVICES if low vo ta e : <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: WIRE IN NEW ROLL UP DOOR OPERATOR <br /> ` C�NTACT 1NF�RMATiON <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 srnre WA ZiP 98124 <br /> owNER PHONE: (425) 294-0514 OWNER EMAIL: <br /> coNrwacTOR NaME: Dutton Electric Company, Inc. <br /> coNrwo,cTORa,00Ress: STREET 12407 Mukilteo Speedway A170 <br /> c,T., Lynnwood sTnre WA ZiP 980 <br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: 111fO�U dUttOCI@I@CtfIC.COIT1 <br /> coNTwacTOR��c.#�REQuiRE��: DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUI • 019811 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-599-5410 <br /> Andy Kisch corvTACT eMai�: info@duttonelectric.com <br /> AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be true and correct. Al/provisions of laws and ordinances governing this type <br /> of work wil/be completed whether specified herein or not. The granting of a permit does not presume fo give authority to violate or cancel the provisions of any other state or <br /> local/aw regulafing construction o�the pertormance of construction. That 1 am authoiized 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 W,4C. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ..a�e miry s�yneu br P��sm in <br /> P e i ta S m i t h oN��S E_��@d�to���o�����m o� o-oE�o��-P���a E ` �2 Y �� <br /> ��, <br /> f3 sW :I am ap� g th s tlocument <br /> ����E7 M'��2018.02.23t343�39-OP00 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />