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E�9/Oai2012 13:56 4254854320 HILL ELECTRIC PAGE 02/02 <br /> ELECTRICAL FERMIT APPLICATION <br /> CITY OF EVERETT PERlVIIT SERVICES <br /> szoo CEDAR STR[ET, EVERETT, WA 9Fi201 <br /> 425-?_57-8810 - Ff,X A25•257-8857--v.avw.everelhva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 5��(,� Wes-� `Dn�e_ <br /> PROJ[CT ADDRESS <br /> Wi �liCtil'� lo C4r� 5��.�-�o wPS� �rtJe. l=V��"I'� �VJ� ��ao3 HaJ��73��..��1�; <br /> Owner Mall Address City Sta;e2lp Phone <br /> Tenant A7uil Atldiese Clry State2ip Phon,e � <br /> I�i� l �lec��r,cC��ora-t;vn Po �x Io�,S lnlovdrn��ll2 hl� �Ib'o=fZ, va-5-4E's-`t,i.:� � <br /> EledriCal ConUado� A1ail Address Ciry Slate2lp Phoqe <br /> NTLLFC�Cj�15 B� <br /> State License Number Controct Pn�e of Work <br /> Proposetl Uso ol Building Contacl Porson (Plan Reviow) , <br /> Square Footage pf residential new construetion,remotlel or addition) <br /> Desaip;ion ot Work ro Be Dons ��5�ll �o.ve�' �o� c�z�J �r�ac�, ..�'�'�'� L'1 t"�� <br /> �dc� �iqH� OU� t —�vY�ac-e G.�G� S�cJ�'�c.� . <br /> NOT�: WIRING IN NON•DWELLINGS IS REQUIRED TO f[E <br /> 6E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVEREIT LOCAL SALES TAX CODE IS 3105 , _� <br /> I he�eby cortily fhaf 1 havo�oad and exsmined fhis applicstion snJ know the ssme 10 be true and �'��� vU'� <br /> correct. A!I prorisions of la�rs and ortlinancas govemmg;a�s fype oI�rork will be comp/efed <br /> wh�fhor speci6ed herein o�not The granhn.0 of a pomnt does not presumo lo give authonty to <br /> vrolate or car,col the�rovisiuns o/any other stafe oUoee!laiv regu/efing consfrucfion orthe <br /> perfo�manca o!rons�ucUort Tbet I am nuthonzed by fhe oviner o/this proporty to porfurm fha <br /> �vorir lo!which application is matle and I compty wifh Ne Stote Contrecbrs Law 18.27 RCW and <br /> 296 200 WAC. <br /> ` �� <br /> ign ture Date <br />