Laserfiche WebLink
11/09/2011 WED 22:46 PAX 4253551610 Button canon <br />0003/004 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES /�_/p--//I <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everett,.va.org ( / / litilr77 `t <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM job EC11-AD <br />e <br />PROJECTAD RESS 3�j a � <br />PROJECT ADDRESS <br />11* <br />THE EVERETT CLINIC 3901 HOYT AVENUE EVERETT WN98201 (425)259 0966 <br />Owner Mail Address Cily Slate2ip Phone <br />SAME AS ABOVE <br />Tenant Mail Address City Slate/Zip Phone <br />Fax: (425)355-1610 <br />Dutton Electric Company 12407 Mukilteo Speedway A-170 Lynnwood DNA 98087 (425)347-7600 <br />Electrical Contractor Mail Address City State/Zip Phone <br />DUTTOEC137P3 $3,270.00 <br />Slate License Number Contract Price of Work <br />Medical Bldg DAVEh1 (425)359-4933 <br />Proposed Use of Building Contact Peron (Plan Review) <br />Description of work to Be Done: Electrical Circuits for New Washer & Sterilizer <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 />1 hereby certify that I have read and examined this application and know the a am0 to be true and <br />correct. All provisions of laws and ordinances governing this type of work w,, be completed <br />whether specified herein or not. The granting of a permit does not presume to give authonty to <br />violate or cancel the provisions of any other state or local law regulating consi action or fire <br />porforrna ce of construction. That I am authorized by the owner of mrs 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 WAC. <br />ll6atclo/zo_il <br />�� S� `ipnat� <br />