3927 RUCKER AVE 2ND FLOOR 2019-04-17

/PP PLECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 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 t mow` ' . PRGJEC S�t`= INFQRIIII�A " ®N PROJECT ADDRESS: 3927 Rucker Avenue BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IX COMMERCIAL USE OF BUILDING: Medical.Bldg. ii 1 ,t 4ELECTRICAL„A, trektION 0:0401:0 ON CONTRACT PRICE OF WORK: $ 3,674.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? ©YES D NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Gunderson Hand Therapy Remodel. Demolition of existing electrical equipment and circuits, installation of new light fixtures and seismic supports. New outlets with additional power circuits and data backboxes with access to the ceiling. Job EC1849 OWNER NAME: The Everett clinic TENANT NAME(If Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 3901 Hoyt Avenue Cm' Everett STATE WA ZIP 98201 OWNER PHONE: 425-259-0966 OWNER EMAIL: N/A CONTRACTOR NAME: Dutton Electric Company. Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway. A-170 CITY i.ynnwnnc1 STATE WA ZIP 98087 CONTRACTOR PHONE:(425) 347-7600 CONTRACTOR EMAIL: info@duttonelectric.cc,tn CONTRACTOR LIC.#(REQUIRED): DUTTOFC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):019811 PRIMARY CONTACT: 0 OWNER 4 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Dale Heckendorf CONTACT PHONE: 425-327-0787 CONTACT EMAIL: dale(,duttonelectric.com 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 I 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 18.27 RCW and 286.200 WAC. City of Everett Official Use Only FEE sz 2, PERMIT# Peita itally signed by Pelta Smith Q'I� 1Ji Date:2018.11.06 13:10:19-08'00' E O l ` 0\--1\ Owner/Authorized Agent Signature Date (Revised 10/12/2015)