4027 HOYT AVE BASE FILE 2019-03-27

ELECTRICAL PERMIT APPLICATION I�►' CITY OF EVERETT PERMIT SERVICES 4� 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 ;1;7:61-2C'' 7 , `1*—, E+. 1 o I� tMAT1tlN y .. .�,sW,.R«.,a,. ..«,.�,- PROJECT ADDRESS: 4027 Hoyt Ave BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED D DUPLEX 0 MULTI-FAMILY-#OF UNITS: IX COMMERCIAL USE OF BUILDING: Medical Bldg. Et.�CTR A AMLI ' ISN �NFLI77TtOh1 ` < CONTRACT PRICE OF WORK: $ 25800 NUMBER OF DEVICES(if low voltage): FIRE ALARM? D YES 130 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: adding one circuit for outlet JOB EC1 i /iq�/ _ 177::/��y� � ..,, L N ✓.a„ OWNER NAME: The Everett Clinic TENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 3901 Hoyt Avenue CITY Everett STATE WA ZfP 98201 OWNER PHONE: 425-259-0966 OWNER EMAIL: N/A CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170 r� CITY "(.ynnwfori STATE WA ZIP 98087 CONTRACTOR PHONE:(425) 347-7600 CONTRACTOR EMAIL: infoaditttonelectric.corn CONTRACTOR LIC,#(REQUIRED): DU'I TOEC 137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811 PRIMARY CONTACT: D OWNER Ig3 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Brad Morin CONTACT PHONE: 425-409-4854 CONTACT EMAIL: bradiaduttonelectric.coin 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 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 l 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 16.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Peta Digially signed by Peita Smith PERMIT# a :2018.11.13 EQ 1( ^ O91 . 0942:25-08'00' OwnerlAutharized Agent Signature Date (Revised 10/12/2015)