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425-355-1610 �1:44 a.m. 09-26-2017 2/2
<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
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<br /> PRo�ecT a�nRess: 7621 Evergreen WAy
<br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATfACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: m COMMERCIAL
<br /> use oF Bui�oiNc: Fitness Club
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<br /> CONTRACT PRICE OF WORK: $ 134,128.00
<br /> NUMBER OF DEVICES if low volta e :
<br /> FIRE ALARM? ❑YES �NO
<br /> ASSOCIATED BUILDING PERMIT# if a licable :
<br /> DESCRIPTION OF WORK: Remodel an existing exercise facility into a new Planet Fitness Exercise Facility
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<br /> owNER Nanne: Planet Fitness Growth Partners TENANT NAME If Commercial : SBme
<br /> OWNER MAILING ADDRESS: sTReeT 212 West Paoonia Road
<br /> _. �,,,. Timon,ium STATE Mary..l_�nd �,P 21Q�3
<br /> OWNER PHONE: 615-418-7006 OWNER EMAIL:
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<br /> CONTRACTOR NAME: Dutton Electric Company, It1C.
<br /> CONTRACTORADDRESS: s-ra�eT�Z4O7 MUI(IIteO Spe2dWay, A170
<br /> c„�. Lynnwood STA7E WA • ZiP 98087
<br /> CONTRACTOR PHONE: 428-347-7600 CONT.RACTOR EMAIL: 111f0 U�dUtt01121eCtPIC.00111
<br /> CONTRACTOR LIC.#(REQUIRED: DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED); O�98��
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<br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER Please S eci
<br /> CONTACT NAME: CONTACT PHONE: 425-218-0477
<br /> Alex Moody CONTACT EMAIL:alex@duttonelectric.com
<br /> AGREEMENT:I hereby certi(y that I have read and examined this application and know fhe same to be true and correck All p�ovisions of laws and ordinances governing this type
<br /> of work wi!l 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 law regulating consEruction or the performance of constructlon. That I am authorized by the owner of thls property fo perform the work for which appllcation!s made and l
<br /> comply wlth fhe State Contractors Law 18.27 RCW and 296.200 WAC.
<br /> Ciry of Everett O�cial Use Only
<br /> PERMIT#
<br /> �. � �6 E � _ ZC �
<br /> wner/Authorize Agent Signature Date (Revised 9/23/2016)
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