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09ld5l2012 15:07 4254854320 HILL ELcCTRIC PAGE 03/03 <br /> � '- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX42S257-8857-www.evereHwa.org G v/ `IZ <br /> -� b <br /> pppl.ICAT10N3 ARE ACCEPTED FROM 8 AM TO 4 PM E/� D 9 ` O I Z <br /> 10"315 /-��r ort (�a 5te a oO <br /> PROJECT ADD SS <br /> pwner <br /> Mall Atldrass CfH StalelZip Ph4ne-.. <br /> ATS 10315 A' t �d� 5-te �oo ��ere�-l- i�JF� a ��-o�� '�a5-s�&-i4iC <br /> TenarM Mail AdOress Gly StalelZip PMqe <br /> (���I Ele4-tr:c Cor sa-f.�o,� (� `��C lCF1S t.Jood+nu;lle_ �✓F� �id'��Z 41s-�!S'ssAi=�:' I <br /> Electrica�CoMtsdO� Mal ACE�s Ciry 9tate2i0 Phone <br /> i}-I���c �o�s�� .�aoo <br /> Stata Uconse Number Contract Price of Work <br /> Proposed Use of Builtling Contact Peraon (Plan Review) <br /> SQuare Footage pf residential new constructlon,remodel or atltl�ion) <br /> oeS�Pso�orwo�xeoea�o�e: �a_loc0.�e �dw'ef -�v -�l�e -�o�k I�E`� Gf�c�qe� -4e -4he_ <br /> �,e�+ e�d o F -�ko ra����nq aPv rt,v��nti�-M1�, 30 {�g-t . <br /> NOTE: WIRING IN NON-DWELLING5IS REQUIRED TO `�E <br /> BE IN RACEWAYS, MC OR AC CABLE. �O D O <br /> CITY OF EVERETr LOCAL SALES TAX CODE IS 3106 � - <br /> I�ereby certiy that f have reed erM examinetl fl+is apqlieation arM know Me same to be 6ue antl /�1 <br /> owreeL All proNslons of laws and ordinancvs 9o� wmury this type o/walr w111 be eompleted E 1 2v q—��Z <br /> wheNer spec�ed herein or not. The grenting bf e permrt doea notpresume to give auMoriry to <br /> � violate or cancel the provisions o1 any otbar staf�a bcal faw regulating eonsfiu¢Gon ar Nre <br /> pedormance cfconstrva8on. That I em authorizawdhyths SfMi Conf a�$ors Lew 18p21 CR W�mrd <br /> 296 2�00 WAC.applica6on rs made arnt I compty <br /> � � <br /> ignaluro �� ' <br />