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09/OS/2011 HON 22:37 PAX G253551610 dutton canon �002/002 <br />C (. <br />ELECTRICAL PERMIT APPLI�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7600 Ever�reen Way <br />PROJCCT ADDRESS <br />q�o�l u <br />�li a�'�o a6 <br />EIiI=i�3:7 <br />THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT WA/98201 (425)259�0966 <br />Owne� Mail Atltlress Cily SlalelZip Phane <br />SAME AS ABOVE <br />Tenant Mail Atldress <br />City <br />StalelZip Phone <br />Pax: (925)355-1610 <br />Dutton Electric Company 12407 Mukilteo Speedway, A-170 Lynnwood, WA 98087 (425)347-7600 <br />Electrical Contraclor t.lail Address Ciry Stale2lp Phone <br />DUTTOEC137P3 <br />State License Number <br />Medical OfFice <br />Proposed Use of Building <br />DescripUon of Work lo Be Oona: C�2CCC1C81 R@tCOfli <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3106 <br />$147.000.00 <br />CoMract Price o( Work <br />DAVE M (425) 359-0933 <br />Contact Person (Plan Review) <br />read and examined lhis applicafion and know Ihe same lo bo true and <br />�ws and o�dinances goveming fhls fype ol work wi/l6e completad <br />r not. The granting o/a permit does notp resumo to give authority 10 <br />ions ol any other stale orlocal law regulating construGion or fho <br />�n. That I am au�horizod by the ownar o! fhis properfy lo pedorm fho <br />is made and 1 comply with the S(ate Confracfors Law 1B.27 RCW and <br />9/06/2U11 <br />FEE $ <br />Gll��{ —v�ce <br />