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03/21/2016 MON 12: 30 FAX 4253551610 dutton canon 11002/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vwwv.everettwa.org <br /> G R 16-02 <br /> 3003 West Casino Road (Bldg. 40-23) <br /> PROJECT ADDRESS <br /> _Boeing Company PO Box 3707 MS 1 F09 Seattle WA/98124 (425)294-0514 <br /> Owner Mail Address City State/Zip Phone <br /> Same as Above <br /> Tenant Mail Address City State/Zip Phone <br /> Dutton Electric Company Inc 12407 Mukilteo Speedway, A-170 Lynnwood WA/98087 (425)347-7600 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> DUTTOEC13728 019811 <br /> State License Number(required) City of Everett Business License Number(required) <br /> COMMERCIAL $9.100.00 <br /> Proposed Use of Building Contract Price of Work <br /> Chris Roff (425) 409-4178 <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: Add 8 fight fixtures to the catwalk platform <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4 <br /> I hereby certify that/have read and examined this application and know the same to be true and J`Q <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the t tlVw <br /> work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br /> 296.20 C. <br /> 03/21/2016 <br /> Signat Date <br /> REVISED 08/06/2014 <br />