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03f 18,'' 2016 11: 11 <br />4254854�20 <br />� <br />HILL ELECTRIC <br />� <br />ELECTR�CA� PERMIT APPLICATION <br />CITY OF EVERETT P�I�IVIIi' SER'V�CES <br />3200 CEDAR S7REET,; �VER�TT, WA 98201 <br />4�5-257,8810 - FAX 425-257-8857 -- www.everettwa.org <br />� ��:.�' s� iv�r �4�e <br />PROJECT ADDRESS <br />s; � ver Su �s <br />t �'�� 5 . � � iG <br />�W��T A�1ail Address <br />Tenant Mall Address <br />-< <� t�c�'E'r; �. Cor� �d �x ( O Q� Lt�� <br />Elactrical Contractor Mail Address <br />��LL � �ou� 6q <br />State License NumUer (required) -' � <br />Proposed Use of Building <br />l�d ��ne-E-�- <br />Clty <br />Gity <br />1`n <br />. <br />Clty <br />;, v ��v <br />State/zip <br />PHGE 02;' 02 <br />Phone <br />State/Zip Phone <br />.(�e v�Qgo�� �a5 �ts�w3al <br />StatelZip Phone <br />031 �' o g <br />City of Everett Business License Numhsr (rgquired) <br />.�1 � �j� D�O ,� <br />Contract Price of Work <br />S�en''. Te rrc c�c� q t-f � Lf g5 t-(� <br />Square Footage (If r�sidantial new construction, remodel or addition) Contact PersonlContact mb�rlEmaiE <br />�e�v►� :�-5 � �-� l� e{eG'��� �c.or`�. c�w� <br />Number of devices (If low voltage) <br />Description ot Work #o B� Done: <br />4 -� � � � i L-� �� <br />� <br />w� . <br />>'`�c -� � �N: � <br />���� �� �� <br />� <br />c� ( af������ <br />e s��:�-e. <br />FEE <br />CITY OF EVERETT LOCAL SAL�S 7AX CODE IS 3705 � n_ �� bd <br />/7 � <br />I Hereby certlfy that ! have roact and examined lhis applrcation and know the same to be true and � � <br />correcf. Al! provrsions of laws 3r1d ordil7anCes goverYring fhis type of wprk wi!l b9 CornplefBd <br />whether specifred hsr�rn or not. Tha grantJng of a permit does not presume to give aulhority to PERMIT#�' <br />violafe or cancel th� provis�orls of el)y oti�eY Stste or loca! !aw regUlafing eonstruCtion or the <br />performance of cor�struction. That I am euthorized by the ownerof fhis properfy fo perfom� the E�� b%'� -- 1'� <br />work for whici� applicat(on (s made �nd 1 comply with the State Contractors Law 18.27' RCW and � � <br />286.200 W� _ <br />� <br />ure <br />R�V1SEl7 0&�06/2014 <br />I� <br />