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03/09/2010 TUC 2101 PAR 4253551610 tton canon <br />0002/007 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM EC 1.0-0 <br />Founders Bldg 3901 Hoyt Avenue <br />PROJECT ADDRESS <br />The Everett Clinic 3901 Hoyt Avenue Everett WA/98201 (425)259-0966 <br />Owner Mail Address City State/Zip Phone <br />Same as above <br />Tenant Mail Address City Stale/Zip Phone <br />Fax: (425)355-i610 <br />Dutton Electric Company 12407 Mukilteo Speedway A-170 Lynnwood WA 98087 (425)347-7600 _ <br />Electrical Contractor Mail Address City State/Zip Phone <br />DUTTOEC137P3 $8,071.11 <br />State License Number Contract Price of Work <br />Medical Dave M. (425)359-4933 <br />Proposed Use of Building Contact Person (Plan Review) <br />Description of Work to Be Done: Vascular Remodel <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE 5 <br />BE IN RACEWAYS, MC OR AC CABLE. <br />ZZ/ •. Z o <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not Aresume togive authority to <br />violate or cancel the provisions of any other slate or local law reguPling construction or file <br />performance orcons,ucfion. That I am authorized by file owner of this properly to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.20 <br />3/9/le G' <br />ign u Dale <br />