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AUG-28-2815 08:38A 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 /> 75 Tµ sr c <br /> PROJECT ADDRESS A <br /> FLu�,f Lae" Eve464:Tr 1144. <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> 3) L �I..Ec TO_Lc_ Copt ML D:L/- LL Avg E ucA .11- l✓h- q UD 1 51r-1 s.)-17PO <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> nAIALEE( n 1 ^Z <br /> State License Number(required) City of Everett Business License Number(required) <br /> • <br /> 4J, 2Do '- <br /> 0, <br /> Proposed Use of Building Contract Price of Work <br /> tii*uSrat aas 3teD -G G I -DSI► <br /> aiskevtNSt'Lt ) C6Yv‘. <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) • <br /> Description of Work to Be Done: 6, X 1 G rv* 14 C 4 1. T t=oK foie K L i fT <br /> 1-1-64.U et( <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE 1S 3105 44`/06,4 <br /> I hereby certify that I have read and examined this application and know the same to b.etrue.and _. <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <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 this property to perform the E , ✓j"l/- 131 <br /> work for which 'cation is made and I co ply with the State Contractors Law 18.27 RCW and <br /> 296.200 WA . <br /> Signature Date <br /> REVISED 0&06/1014 <br />