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LLECTRICAL PERMIT APICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 ( (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> '�xs\\�'t \��'^ ® �� �_� \ (� �� � u•�'��2,i ��WZ,� 2 1 � gi'v� a: <br /> .� .ae <br /> �..�a-.:t. `�--- ' °. �,a�c �E. --�'w.Z $ ..�.sa.:�s,`° �`�tF�%`a..�..��� .-.< ' <br /> PROJECT ADDRESS: 3909 HOYT AVE (Bartells) • <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: IX COMMERCIAL <br /> USE OF BUILDING: Medical Bl . <br /> CONTRACT PRICE OF WORK: $ 900-00 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES III NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: New 20amp Circuit <br /> JOB 18EF <br /> 2�.4T°u�'..� .._ __. _Vii....._. �\�. �w': ��.,.,a�4,\��raa>• � m�,�*�-c ..:�., _ ...'��:.s��&S. ::.� ..., .,.. . �.,. .„w.d�.5�\C\,�„ <br /> OWNER NAME: TENANT NAME(If Commercial): _, r er.orr v«:.. <br /> The Everett Clinic } T''��� <br /> OWNER MAILING ADDRESS: STREET 3901 Hoyt Avenue 0E2.v-1--e_ (s <br /> CITY Everett STATE WA zIP 98201 <br /> OWNER PHONE: 4 ..259-Q96 OWNER EMAIL N/A <br /> CONTRACTOR NAME: Dutton Electric Company,Inc. <br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170 <br /> CITY T,ynnwnnrl STATE WA 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 4 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854 <br /> CONTACT EMAIL: brad(ulduttonelectric.com <br /> AGREEMENT:T 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 <br /> 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 <br /> local law regulating construction or the performance of construction. That t 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 /> FEE <br /> . signed by Peita Smith PERMIT# <br /> Peita m 38107001 E ic3 (Do` <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />