1817 BROADWAY STATE FARM INSURANCE 2022-01-18

1#111111 :A ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 1817 Broadway, Everett, WA 98201 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: 0 COMMERCIAL USE OF BUILDING: Office Building b=74 'AMinegke, CONTRACT PRICE OF WORK: $ 3800 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: New 200A Service and tenant improvement of lighting and receptacles OWNER NAME: Chris Jones TENANT NAME(If Commercial): State Farm OWNER MAILING ADDRESS: STREET 18827 Bothellway NE#103 CITY Bothell STATE WA ZIP OWNER PHONE: 2068412815 'OWNER EMAIL: CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170 CITY Lynnwood STATE WA ZIP 98087 CONTRACTOR PHONE: 425-347-7600 'CONTRACTOR EMAIL: info@duttonelectric.com CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-361-6207 Andrew Piccini CONTACT EMAIL: andrew.piccini@duttonelectric.com 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 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 property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only �g':.v signed by Peita Smith PERMIT# :. US,E=peita(�duttonelectric.com,OU="",0=DECO, Pelta Smit Ita mith E 1 e J— 13� c a :I attest to the accuracy and integrity of this n[ 018.01.18 14:41:44-08'00' L Owner/Authorized Agent Signature Date (Revised 9/23/2016)