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425-355-1610 09:05:51 a.m. 03-23-2017 2/2
<br /> 4577 ERCTRiCAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 ( (E)everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 10710 Evergreen Way rk1 \ (crr�
<br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL
<br /> USE OF BUILDING: Casablanca Apa is
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<br /> CONTRACT PRICE OF WORK: $ 500.00
<br /> NUMBER OF DEVICES(if low vol:la a}:
<br /> FIRE ALARM? D YES WI NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: Mounting 1/2"rigid for gate control for emergency detection
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<br /> OWNER NAME:Casablanca Apartments TENANT NAME(If Commercial): Casablanca Apartments
<br /> OWNER MAILING ADDRESS: STREET 10710 Evergreen Way
<br /> CITY Everett STATE WA zje 98204
<br /> OWNER PHONE: 425-355-5858 OWNER EMAiL:casablancaapartments@casablancaeverett.com
<br /> CONTRACTOR NAME: Dutton Electric Company, Inc.
<br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170
<br /> cRy Lynnwood STATE WA ZIP 980
<br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: info@duttonelectric.com
<br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED. 019811
<br /> PRIMARY CONTACT: 0 OWNER Pi CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 425-218-0477
<br /> Alex Moody CONTACT EMAIL:Info@duttonelectric.com
<br /> AGREEMENT::!hereby certify that I have read and examined this application and know the same to be true and correct. All 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 performance of construction. That I am authorized by the owner of this properly to perform the work for which application Is made and!
<br /> comply with the State Contractors Law 16.27 RCW and 298,200 WAC.
<br /> City of Everett Official Use Only
<br /> PERMIT#
<br /> /.��14o1K. !, _ e323 _i E \*()3 CR-
<br /> O er/Authorize• •gen Signature Date (Revised 9/23/2016)
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