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05/13/2013 16:30 4254854320 HILL ELECTRIC PAGE 02/02 <br />• • <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERFTT, WA 98201 <br />425-257-8810 - FAX 425.257-5857—www.everettwa.org <br />)GOO WW C4s;no R4 Eve re f + <br />PROJEC DDRESS <br />Owner Mall Address <br />)tiAor)-TeCbn,cGl &(VICe <br />Tenant --Mail Addrebf <br />City <br />31a_1 Io9ti11 <br />— <br />}�,II E1-ec4j-nc Corporaborl Po 90X 109 <br />Electrical Contractor Mall Address <br />HZLLLc�oP a� <br />State License Number <br />Proposed Use of Building <br />Square Footage (It residential new construction, remodel or addition) <br />Number of dewces (If low voltage) <br />Descnpbon of Work to Be Done <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />C�I�OS'070 <br />5_1q <br />State2ip _ - Phene <br />I Eve re 4-a- 1,VA 9a o <br />City _-_ statelzip <br />l)oobyille WA gQQgZ <br />city Statetzip ?h9nA <br />a,IoC --- <br />CoMracl Price of Work <br />Contact Person (Plan Review) <br />I hereby certify that I have read and examined this application and know the some 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 authortty to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constnucb'on. That I am authorized by the owner of this property to perform the <br />work for which applicabon is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />aeviseD "M3 <br />FFF <br />PERMIT# <br />E ( 305 <br />