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FEB-10-2010 10:09H FP011:DAHL ELECTRIC-EVERET 425-252-2999 TO:4252578857 P.2,2 <br />I <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 - vnvw.eve rettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7 7R 4--) � <br />PROJECT ADDRESS - <br />4LRwreE7Z 5 77'20 W"A Sofa' �. C`uE-e= &)A 29203 -s,V4 -�3301 <br />Ov:ner Mail Address Gay Slatelz'p Phono <br />Tenant Mot Address City State/Zip Phone <br />y n/� Zs — <br />j�:� _ nz,e r3�/0Q'A17,0vuu9�14C4 ,K - ll �7820/ as2-17040 <br />Elechiuol Conliactut Mal Address City �e staterzlp Phone <br />D91fL�19a�hD klo ©o <br />Slaty. I ir:nnsn Numbe / Contract Price of Work <br />lllA''IQEND�CS�" %rLoCxlcTID�J <br />Proposed Use of Building Contact Person (Plan Reviow) <br />Description of Work to Bo Done: 4ZA-72E EX ( S <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE 7 <br />BE IN RACEWAYS, h4C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby <br />corrac . certify that I have road and examined this application and know tho some to he fruo and <br />All provisions oflaws and ordinances governing this typo of work will be completed <br />r�hathor specified herein or not. Tho granting of p. rmrt does not presume to give authority to <br />violate or cancel t 1 revisions or an ther sfald or coal law rogulating construction or the <br />podonnance ore 5 r cffon. That a nufhe zed y fho owner of tlils Proporty to perform ftre <br />work for tahich a p>�ation is mad an. or h the State Contractors Law 18.27 RCW and <br />- _ �--ice—iv <br />Signature pyo --- <br />