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AUC-13-2015 08:20A FROM:DAHL ELECTRIC-EVERET 425-252-2999 TO:4252570857 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 /> I 'JIL 7µ AOF- 5rF <br /> PROJECT ADDRESS <br /> �kWr►iIL2 /iPM/2rM 6,u TS eke rr <br /> Owner Mail Address City State/Zip Phone <br /> Te/^naant Mail Address City Slate/Zip Phone <br /> t�__71ikiA L ELEC TA-V- �4 0 9 PL O PiZ&ALL Aylz E vs.,&-m- Its C1 920( 5. T-?5,) I 7v15 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> OA4LEE1 "11G08 0 2) `7 Q I <br /> State License Number(required) City of Everett Business License Number(required) <br /> -*a 00 <br /> Proposed Use of Building Contract Price of Work <br /> llmK SIr�U�usa�1� -LGt -Oso► <br /> AS�GVL NS��:h I tI tG�N IL.�61'W <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.BeDone: INSIPeC7' PATIO./kL/t-NTjNb- <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��0 <br /> I hereby certify that l 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 <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/am authorized by the owner of this property to perform the EI (J <br /> work for which application is made and/comply with the State Contractus Law 18.27 RCW and <br /> 296.200 WAC. <br /> Sign lure Date <br /> REVISED 0"&2014 <br />