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04:77 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3003 W Casino RD Building 40-37 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: MFG <br /> ELECTRICAL PLICATION INFORMA • try' k <br /> CONTRACT PRICE OF WORK: $ 5000 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES ® NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Modifications to existing Robotics equipment <br /> CONTACT INFORMATION <br /> OWNER NAME: BOEING COMPANY TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO BOX 3707 MS 6A1-01 <br /> cI v SEATTLE STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: DUTTON ELECTRIC COMPANY, INC. <br /> CONTRACTOR ADDRESS: STREET 12407 MUKILTEO SPEEDWAY#A170 <br /> cin LYNNWOOD STATE WA ZIP 98087 <br /> CONTRACTOR PHONE: 4253477600 ,CONTRACTOR EMAIL: CHAZE©DUTTONELECTRIC.COM <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425 347 7600 <br /> Chaze Prayer CONTACT EMAIL: CHAZE@DUTTONELECTRIC.COM <br /> AGREEMENT I 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 <br /> 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 <br /> 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 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> .:.ae ae cg,rnd by CRAZE PRAYER PERMIT# <br /> oN A5 E_h �d�lo�le�«�m 12/04/1 7 <br /> 0 DUTS E-chaCTRICCO LEr: Irn <br /> CHAZE PRAYER�N CFAZEPRIZCE E 11 \2- <br /> CO <br /> DBF'2017 12a04 1355-08100 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />