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02/13/2014 16:54 4254854320 HILL ELECTRIC <br />PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425 257 8810 F/�X 425 257 8857 - www.everettwa org <br />2V00 W CaS-no ki <br />PROJECT ADDRESS V <br />' 4 <br />Owner Mail Address City statelzip Marie <br />wic1�'ion�echn�Cal Sec�;ces <br />Tenant Mall Address City 6laleiz'p Al1GGc <br />4,1)1 `E-Ie-ciric Qo Box 1095 VJoodiul Ile WA ___ <br />Electrical Contractor Mail Address City Staterzip Pn6i1E <br />NZL.L-T,-C*O4569 't9o(-,) <br />State License Number Contract Price of Wogs <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Desenption of Work to Be Done <br />ti-pkx cord of <br />Contact Person (Plan Ravi") --- <br />`U) <br />FEE //� <br />CIIY OF EVCRFTT LOCAL SALES TAX CODE IS 3106 f„q 5 0 <br />I hereby certify that I have reed and examined this application and )mow the some to be fore and <br />correct. All provisions of laws and ordinances goveming oils type of work will be completed .._.�._ <br />whether specified heroin or not. rho granting of a permit does not presume to give aufhonty to P[RMIT# <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction rhal I am authorized by the owner of this property to perform file 1 1 O O V <br />work for which application Is made and I comply with the State Contractors Lew IS 27 RCW and _1 V <br />296.200 WAC. "-- <br />REVTSEe "0113 <br />