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04/17/2012 14:32 4254854320 HILL ELECTRIC PAGE 02/04 <br /> l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-886T—wvuw.everetlwa.org <br /> ApPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��-105 Oa.keS PtvG �uet2�k WA `18�.0\ <br /> PROJECTADDRE33 <br /> Oav�d 6rc�t� I�toS o��s A�� �rere� WA �1g�1 �ra�s--a5��a-oyo <br /> pWnet MailAdtlroaa City Sl�1WZip Phone <br /> Tanant Meil Address Ciy Slate2lp Phone <br /> �}i�� �1e.C.�'fi(� PO 6�X 10�5 Wo�rvi�\� V�JA Q�O�Z. i'I'�5-445-432I <br /> EleCifiCEl ContfBCtor MNI AOtlrus Clry SlateZp PAene <br /> NT ��E�.�o4sgR ��oo,°n <br /> State Licence Numbsr Contraot Prioe of Work <br /> Proposed Use of Bullding Co�tact Person (Plan Review) <br /> DescriptionofWorktoBeDone: MOve— OVe-n re.cep}c�c1e- Qpp('UX �P��' 'F'e 'L'�' . <br /> NOTE: WIRING IN NON•DWELLINOS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE, �O� <br /> CITY OF EVERETT LOCAL SALE3 TAX CODE IS 7105 <br /> 1 here6y certify thaf 1 have read and examined thls application and knowtha same to be We and <br /> conect, AII provisions a/laws and ord/nances goveminp tf�ls rype of work will be completed �I z(��`Q�� <br /> whether spedfied herein ornot. 77�e granting o/a pennd does not presume to yiv¢authority to <br /> violate or canc�l fhe�ravisionS_of any othsr statt�r local!aw n9u/afh(�ngpconshuchon o(tha <br /> wo�k 1�Or wh ch appl cahon�s made and 1 comply wi h the State Contra�ctor�Law 18 27 RCW and <br /> 296.200 WAC. <br /> — ��� � <br /> Ip aturc Dak <br />