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0 ,,001111101" ELECTRICAL 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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: 1001 Shuksan Way, Everett, WA 98203 <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: m COMMERCIAL <br /> USE OF BUILDING: Food Distribution <br /> ,..:.v �». ..oC n : mk &P�..1\\� ,. ..,..\ _.. ,...�..,��w� <br /> CONTRACT PRICE OF WORK: $ 800 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES ®NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: extend one circuit <br /> OWNER NAME: Food Services of America TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1001 Shuksan Way <br /> Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 206 218 5723 JOWNER EMAIL: N/A <br /> CONTRACTOR NAME: Dutton Electric Co., Inc. <br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway, Suite A-170 <br /> c,,,, Lynnwood STATE Washington zip 98087 <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 Q1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.361.6207 <br /> Andrew Piccini CONTACT EMAIL: andrew.piccini@duttonelectric.com <br /> AGREEMENT..I 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 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 WAC. <br /> City of Everett Official Use Only <br /> ( Digitally signed by David L.Ginestra PERMIT# <br /> DN:cn=David L.Ginestra,o=Dutton Electric Company, r //���� n <br /> David L. G i n e st r kgc.,,ou,email=daveg�duttonelectriacom,cc E l`1 1 2'�/� <br /> Date:2018.05.16 13:46:44-07'00' w U <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br /> 5/16/2018 <br />