4004 COLBY AVE 2019-03-14 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I .evere a,govlpermits `a �PIRt�.1ECT SI`D'E 1 P Nl �1" ON �x G PROJECT ADDRESS: 4004 Colby Ave BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: Medical Bldg. t t lELEtTWAt ' `�PPLICATIt N, IN 140 TIS „ CONTRACT PRICE OF WORK: $ 6,376.15 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES MI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Extending 3 circuits, in clinic remodel,outlets and lighting JOB EC1847 Cb itACT INEFOI A rT4514rz W OWNER NAME: The Everett Clinic TENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 3901 Hoyt Avenue CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-259-0966 OWNER EMAIL: N/A CONTRACTOR NAME: Dutton Electric Company,Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170 CITY T.ynnwnnri STATE WA ZIP 98087 CONTRACTOR PHONE:(425) 347-7600 CONTRACTOR EMAIL: info@duttonelectric.com • CONTRACTOR LIC.#(REQUIRED): DUTTOEC 137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811 PRIMARY CONTACT: 0 OWNER Ea CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Brad MorinCONTACT PHONE: 425-409-4854 CONTACT EMAIL: brad Q,duttonelectric.com. AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct, All provisions of laws and ordinances governing this type 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 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! comply with the State Contractors Law 1827 RCW and 296.200 WAC. City of Everett Official Use Only FEE * 109 lt) ID tally signed by Peita 1.1 u>th PERMIT# Peita m Da 2018.12.11 LI) 1 8:39-08'00' E b� Owner/Authorized Agent Signature Date (Revised 10/12/2015)