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05/22/2013 WED 12:59 I•'AX 4253551610 dutton canon <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.eve rettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM EC13-X <br />3901 Hoyt Avenue <br />PROJECT ADDRESS <br />0002/002 <br />THE EVERETT CLINIC <br />3901 HOYT AVENUE <br />EVERETT <br />wA198201 (425)259-0966 <br />Owner <br />Mail Address <br />City <br />SlatelZip Phone <br />SAME AS ABOVE <br />Tenant <br />Mall Address <br />City <br />slatelZip Phone <br />Fax: (425)355-1610 <br />Dutton Electric Company <br />12407 MAMBO Speedway. <br />A-170 Lynnwood <br />WA 98087 (425)347-7600 <br />Electrical Contractor <br />Mail Address <br />City <br />StatelZip Phone <br />$5,820.e0 <br />DUTTOEC137P3 <br />_ <br />Contract Price of Work <br />State License Number <br />DAVE M 425 359-4933 <br />Medical Office <br />Contact Person (Plan Review) <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Optllamology Remodel <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />1 hereby certify that I have read and examined this application and know the <br />correct. All provisions of laws and ordinances governing this type of work w <br />whether specified herein or not. The granting of a permit does not presume <br />violate or cancel the provisions of any other state or local law regu/ahng con <br />performance of construction. That/ am authorized by the ownerof this pProp <br />work for which application is made and I comply with the State Contractors <br />296.200 WAC:-\ - <br />J/1, `i y 7, 7// OS/22/2013 <br />FEE $ p <br />O � - 30 <br />to be true and <br />empleted .� <br />r authority to <br />tauo <br />t the Ci�i-J I <br />27 RCW and <br />