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02112/2015 16: 47 4254854320 HILL ELECTRIC PAGE 02102 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www,everettwa.org <br /> PROJECT ADDRESS <br /> Owner Mali Address City StatelZip Phone <br /> Tenant Mail Address city State/Zip Phone <br /> H-i� I lec r,� ��ofo sun �o �GX lo�S- �{/yac��it�112 1�1/�4 1�d-7Z <br /> Electrical Contractor Mail Address City phone <br /> H-1 LL E-L+o 4 S-P3T <br /> State License Number(required) City of Everett Business License Number(required) <br /> t31co0 <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done; <br /> FEE CITY OF EVERETT LOCAL SALES TAX CODE 18 3105 t 000 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed -- <br /> whether specified herein or not. The granting of a penult does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the I �r, _ r O <br /> performance of construction. That I am authorized by the owner of this property to perform the t lJ'G; <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.240 WAC. <br /> r <br /> gnatura Date <br /> REVISED 0a0&2014 <br />