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OS/19/2015 7UE B: OA Fw)c a253551610 dutton canon �0�2/002 <br /> • • <br /> ELE�TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everethva.org S.`�q �,IS <br /> 15-AD � � 50 5 _10� <br /> 6003 23RD DR W <br /> PROJEC7 ADDP,ESS <br /> VIGILANT 6003 23RD DR W EVERETT WA/53203 (425)349-4a77 <br /> Owner ena�i qddress Gry S;eie/Zip anone <br /> SAME AS ABOVE <br /> Tenanl A9ailAdUresS Gty Stale'Zip Phone <br /> Dutton Electric Company, Inc. 12407 Mukilteo Soeedway A-170 L�nwood WA/98087 (4251347-7600 <br /> Electncal CoMracror ti�a�i nddress C;ty Statc2ip anone <br /> DllTT�EC137P3 019811 <br /> State License Number(reqwred) Crty ol Everett Business License Number(reqwred) <br /> COMMERCIAI $800.00 <br /> Proposed Use of Builtl�ng Contract Price of Work <br /> Keith Tritle (206) 817-0104 <br /> Square Foofaqe (If residential new construct�on, remodel or atldAion) Contact Person/Contad NumbedEmail <br /> Number ef devices (If low voltage) <br /> Descriplion ol Work ta Be Done' 2dC1 (2) CIfCUI�S l0 8ft BxISllflq p2f121 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 x /-�,�j� <br /> ��( t�� v <br /> I hereby cerfdy fhat/ha ve iead antl examined this applicafion and know Ne same(o Do lruo and <br /> conecl All prov�sions o!laws and o�dinances govoming fh�s type ol woik will bo completed <br /> whether spocihod herein or no1 Tho granling ol a permif doas nof p�esume fo grve authonty to PERMfT# <br /> violale e�cancol fhe piovisions of any o(her sfafe or locaf la�v�egulating cons(rucfron orlhe ^ I ���! � �^ <br /> poAormance ol consfiuc(ion. Thal!am aufhorizetl by fhe owner ol Ihis propehy lo pedo�m fhe C `vDK <br /> work Ior which applica6on is made and I comply wilb fho Sta(e Con(racfors Law 78.27 RCW and <br /> 296.�-WAG.� � <br /> ` �/' . <br /> -� .c_ ���/"'G G�J 05/19/2015 <br /> Signature ' Date � <br /> ReV15E0OLOY1014 <br />