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APR-29-2813 87:57A 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 /> 13 3a 6 PA (mf ,41/6 <br /> PROJECT ADDRESS <br /> -'C.-1L-AL <br /> ntotog4TI6.S Evrg,kr 1,/A <br /> Owner Mall Address City State/Zip Phone <br /> 14)06 Fl,Dus1' s' 3D-) f f J &/f 11/6e,6'17 t✓ii- A-2 e <br /> Tenant Mail Address City State/Zip Phone <br /> Of tai_ E1-0:C 7 4 tC 31-iDI Mc✓Jauaw« a-rr 1J4 98.261 +15--.31.)'/70 <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> nAHL cc112t Qm 4r3 Dov °= <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: E Eche(t 4L F-pte, 3 d ff(G1$ A M6 Lo 45'8Y <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. til--(_ o <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 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 C p� (. r I r 1 <br /> whether specified herein or not. The granting of a permit does not presume to give authority to V t V <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of thisroperty to perforin the <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 AC. <br /> , /4, ZIL___— LI - al-13 <br /> ignature Date <br />