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fi8/Ei5/2E112 17:55 425485432f� HILL ELECTRIC FFGE 02/0'� <br />ELECT'F�ICa4L PERfiliiT �PPLICATI01� <br />CiTY C�� EVERETi PEP.MIT :.�ERVICES <br />3200 CEDAR STREE'f, kVERETT, WA 98201 <br />q25-257-8810 - FAX 425-257-8857 —w�w.everettwa.org � �,7✓ /.Z <br />APPLICATIOMS ARE �4CCLPTED FROM 8 AM 7a 4 PM n�� <br />C"�G(/ � -i/ <br />� l �� I+� h��IZ., S� <br />PROJECT ADDR[SS <br />E �, a- <br />Qwn@f <br />Tenant <br />�� <br />-};1� El-zc��,c. Cq� <br />Electrical ContraClar <br />I-k �l-L � E C� 0 45�� <br />State License Numper <br />Pmposed Use of 8uilding <br />8�1� <br />hlail Address <br />Mai� Add�255 <br />Mail Address <br />c E ���.rey-�- U��C �l g�- <br />City <br />C:ly <br />Po t�c�x Ic��S <br />Clty <br />Squaro Footage pf resitlontial new conswction, remodel or addition) <br />StatelZip <br />Slale/Zip <br />�J�od;n�.11e w�t ��, <br />State2ip <br />F!i�Ae <br />`{ ,�.5 -�i �:-� �y �,:z � <br />OG <br />��j iSO. <br />Gon ract Price o( Work ���� �� <br />Contact Person (Plar Review) <br />uesaription of Work to Be Oone: ��P�-���G-� ����� �P `'il '"�-� f t'1 a L'v <br />NOTL� WIRING IN NON-DWELLINGS IS RGQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETI' LOCAL SALES TAX COD[ IS 3105 <br />I hereby coRily lhat I hove �ead and oxam�ned fhls apglic <br />comply <br />to <br />19. <br />FEE <br />and � I �� `� — Ci ! Z <br />ro <br />and <br />