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APR-15-2013 09:43A FROM:DAHL ELECTRIC-EUERET 425-252-2999 TO:4252578857 P. 1/1 <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 <br /> 33 czG IA r1L Ave <br /> PROJECT ADDRESS <br /> G- c f_2 / 0fr tRTiEi 31105 /�� ,.toaccAIL Ev&a.fr vi-2o/ <br /> Owner Mail Address City State/Zip Phone <br /> 14P0,?Am 5TC s /°/1/44 Aux fi1i,26rr 1v/) 'fS.2° J aS3-21/5-,4,5-62 <br /> Tenant Mail Address City State/Zip Phone <br /> f <br /> L ELC?7 IC 3 to 9 Mc,Oolw-1f« 41.6. Eti 4eii-7 elead r 10 f•?��- /�- <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 6aE e c l 1(a O 5-6 <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodels or addition) <br /> c._/ <br /> Description of Work to Be Done: 1106 ieC& or f k. Fp,_ K L f F T CH o e, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that/have read and examined this application and know the same to be true and <br /> correct. Al!provisions of laws and ordinances governing this type of work will be completed Q <br /> whether specified herein or not. The granting of a permit does not presume to give authority to f <br /> violate or cancel the provisions of any other state or local law regulating construction or the '— t <br /> performance of construction. That I am authorized by the owner of thisroperty to perform the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 64- libs/i 3 <br /> Signature Date <br />