3003 W CASINO RD BLDG 40-04 2019-06-19

4r52"7" ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 West Casino Road Bldg 40-04 Door N4 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: El SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: 0 COMMERCIAL USE OF BUILDING: Boeing Commercial ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 500.00 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES EI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: WIRE IN NEW ROLL UP DOOR OPERATOR CONTACT INFORMATION OWNER NAME:The Boeing Company TENANT NAME(If Commercial): The Boeing Company OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F09 cnv Seattle STATE WA ZAP 98124 OWNER PHONE: (425) 294-0514 OWNER EMAIL: CONTRACTOR NAME: Dutton Electric Company, Inc. CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170 Lynnwood STATE WA ZP 98087 CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: info@duttonelectric.com CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-409-4978 Chaze Prayer CONTACT EMAIL: info@duttonelectric.com AGREEMENT:t hereby certify that 1 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 296.200 WAC. City of Everett Official Use Only ith PERMIIT�]# Peita Smith signed by Date:2019.0041449:4008'00' bl^ D 1L1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)