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#9* <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa_gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION ) <br /> PROJECT ADDRESS: o2,/ l 0 Lie 704 6 /jiif <br /> fi <br /> BUILDING AREA(if residential, new construction,remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Cr COMMERCIAL <br /> USE OF BUILDING: Pi5k t=eW,lari 14 G- A.tIS C 'x/7'-,L` , <br /> ELECTRICAL APPLICATION INFORMATION 1 <br /> CONTRACT PRICE OF WORK: $ 1f .2 OD `—' ' <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO '" <br /> ASSOCIATED BUILDING PERMIT#(if applicable): n K 5 i S-re_I4,Ls- ? <br /> DESCRIPTION OF WORK: <br /> CONTACT INFORMATION �- <br /> • <br /> OWNER NAME: EVC 4 t Tt to C_ , TENANT NAME(If Commercial): Same <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE. ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Dahl Electric, Inc. <br /> CONTRACTOR ADDRESS: STREET 3409 McDougall Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-252-1700 CONTRACTOR EMAIL: dstevens@dahlelectrlc.corri <br /> CONTRACTOR LIC.#(REQUIRED): DAHLEEI926QD CITY OF EVERETT BUSINESS LIC.#t REQUIRED): 037024 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-661-0511 <br /> IDan Stevens CONTACT EMAIL:dstevens@dahlelectric.com i <br /> AGREEMENT-I hereby certify that I have read and examined this application and know the same to be true and correct. Ali'provisions of laws and ordinances governing this ty :. <br /> of work wilt be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> IT/CV' --/L----- .-- ag- ie E l'BOB-21:19-- : <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />