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JAIJ-17-2011 09:39P. FROM:DAHL ELECTRIC-EVERET 425-252-2999 T0:4252578B57 P. 1'1 <br /> t ` <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �_ ,g _�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C//d 1 —D S 3 <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> _ � 8/ f ���� C� <br /> PROJECT ADDRESS <br /> _p�.�e %�� 38�75�� � �✓�rT Y2s-as9-9Z <br /> Ownet � Mall Addres Cily Slalo/Zip P�one <br /> �U�II'f�� <br /> Tenanl Mall Addrass Clty Slate/2ip Phone <br /> r�.¢/�� ��-zr.�.i� `� �/zs <br /> .�� EvE�FTl� ��- 4a7t�' �6z-/1 <br /> ❑ectdCal Conirector Mail Addross Ciry SI:�In/Z�p Phunu <br /> ���. �-r9a� 4� � i s oo . �o <br /> Slato L�censo Number Cnntracl Price of Work <br /> � <br /> F'r sed Uso of�uilding Contect Person (Plan Review) <br /> Doscriplion of Work to Bo Done: ��D lfl D � � R��QOGl %,/�(J�s— 6C FJtI$'7'7(U ls-� <br /> l / / TS "�U' ' /�'�2�"D/.�T6rJ /J7.�,G15�/���� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FE <br /> BE IN R.4CEWAYS, A9C OR AC CABLE. �' �Q <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> 1 herohy crnily thaf I have rond ond eXaminod fhis applicafion and know fho samo fo bo Wo ond <br /> correcf. All provisians ollows and ordinnnces govom(ng Ihis rype ol work will ba comploted <br /> whefher spociliad horoln or noL The qronfing ol a pennif does notP iosumo to givo aulhonry fo <br /> violafeorcnnco ic provislonsofonyothersfeleoNocallewrer�ulafingwnsfrucflonorlhe <br /> paNcnnanco o c nslruction. Thaf am ai rizod by fho ownor o/fhis property fo porfonn fho <br /> work lor whlcl plication is ma d I n /y�ti-i(b tbo S(afo Contractors Law 18.27 RCW and <br /> �e.zoo wn . <br /> `_ J �,� I� � _ o.�3 <br /> Slpnalu pi�a � <br />