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07/08/2011 PRZ 3:32 FAX 4253551610 doiton canon <br />e)002/002 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �O 4c <br />425-257-8810 - FAX 425.257-8857 — www.everettwa.org &--I ► 0 J <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO PM lob EC11-AN <br />�39i-##oytAat�we 39.?� !�� Ice.' frvC <br />PROJECT ADDRESS <br />THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT WAM201 (425)259-0966 <br />Owner hiail Address City State/Zip Phone <br />SAME AS ABOVE <br />Tenant Mail Address City Slate/Zip Phone <br />Fax: (425)355-1610 <br />Dutton Electric Company 12407 MAMBO Speedway A-170 Lynnwood WA 98087 (425)347-7600 <br />Electrical Contractor mail Address City Slate!Zip Phone <br />DUTTOEC137P3 $296.64 <br />State License Number Contract Price of Work <br />Medical Bldg DAVEM (425)359.4933 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of work to Be Done. Reception Desk Modifications <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 3106 <br />/ hereby certify that 1 have read and examined this application and know the same to be We and <br />correct. All provisions of laws and ordinances goverrlmg 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 file <br />performance o/construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296. 200 WAG. <br />�2� , t 6/2011 ' - D `t <br />Slgnatu e-' Date ' 0 <br />