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06/03/2010 THU 3:16 FAX 4253551610 Button canon <br />0oo2/002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v `vw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM EC10-BT <br />3927 Rucker Avenue//— <br />PROJECTADDRESSti f <br />THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT WA198201 (425,259-0966 <br />Owner Mail Address City State/Zip Phone <br />SAME AS ABOVE <br />Tenant Mail Address City Stalo0p Phone <br />Fax: (425)355-1610 <br />Dutton Electric Company 12407 Mukilteo Speedway, A-170 Lynnwood, WA 98087 (425)347-7000 <br />Electrical Contractor Mail Address City Slate/Zip Phone <br />DUTTOEC137P3 $2,611.00 <br />State License Number Contract Price of Work <br />Medical Office DAVEM i425)359.4933 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: New HVAC SDIR Systeill <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE $ <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have read end examined this application end know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.2/00 I� <br />6/3/e2010 <br />pn t e_ Dat <br />