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08/14/2012 13:24 4254854320 HILL ELECTRIC PAGE 02/02 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 88201 <br />425-257-8810 - FAX 425.257-8857—www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br />�4q i 3 s+o_ PlaCc, <br />PROJECT ADDRESS <br />mark. N<hC�-Q�Sf..n �91S UiSto. Pace. �vexe_44- Vjk 921a1., <br />Owner Mall Address City Statemp <br />PpogE <br />Tenant Mali Address City Staterzo <br />PhgA@ <br />}�1L�K'�o�kSgq Po [3OX I095 Aodeo;L WA '�$C*Z L+�s-�1gS <br />Electrical contractor Mall Address City Slate/21p <br />Phgpe <br />r <br />I- k LU;porc't 't I, IOo <br />State License Number Contract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (If residential new construction, remodel or addition) <br />/'� <br />Description of Work to Be Done: 09—Lo a.S r°c M{o C (IL LCkI T 1Qj - 11P ct+" /JI* MY2 <br />—_ <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO <br />FEEBE <br />IN RACEWAYS, MC OR AC CABLE. <br />6Q <br />150 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I <br />I hereby certify that I have read and examined this applicah;)n and know th0 same to be true and _ <br />corm All provisions of laws and ordinances goveming this type r `wot* will ba completed /1 <br />whether spedflad heroin or not. The granting of a permit does not vsuma to give authority to 12 d <br />Q 7 ( ' <br />viorlf9ntromor cancel the proviston�of any other st to or local law ropes,. 'q consWction or the <br />work for wh ch applicat o ols� madejet end 1 comply with the State Contra, =T l w 18.� RCWt and <br />296.200 WAC. <br />sign Dare <br />