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OLT 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 West Casino Road Bldgs 41 516 7x Lit!)^y I <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ® COMMERCIAL <br /> USE OF BUILDING: Boeing Commercial <br /> ,'' ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ l DOQ °� <br /> , <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES El NO <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: Temporary Power <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Company TENANT NAME(If Commercial): The Boeing Company <br /> OWNER MAILING ADDRESS: STREET PO Box 3707 MS 1 F09 <br /> CITY Seattle S-ATE WA ZIP 98124 <br /> OWNER PHONE: (425) 294-0514 OWNER EMAIL: <br /> CONTRACTOR NAME: Dutton Electric Company, Inc. <br /> CONTRACTOR ADDRESS: STREET 12407 Mukilteo Speedway A170 <br /> CITY Lynnwood STATE WA ZIP 98087 <br /> CONTRACTOR PHONE: 425-347-7600 CONTRACTOR EMAIL: Info@duttonelectric.Com <br /> CONTRACTOR LIC.#(REQUIRED): DUTTOEC137P3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 019811 <br /> PRIMARY CONTACT: 0 OWNER LZI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-512-6917 <br /> Mike Fields CONTACT EMAIL: Info@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 /> Digitally signed by Pena Smith PERMIT# <br /> Peitamit <br /> Sh Re GUS to peltahe accuracy <br /> y tric and <br /> OU="" is DECO <br /> CN PBitaSmith E &O -b (� <br /> Reason I attest to the accuracy and integr ty of this document <br /> Gate 2018.03 02 10:39:50-08'00' <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />