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a298o -/9/3 /, e) <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 /> 1 ?,0t9 46aX 3719 8/24-2 20 7 X26 3212.2/2 / <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> gait/ R01419 $-Z/oz, _ 0-�05919 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 0- � anY 2 <br /> Proposed Use of Building Contract Price of Work <br /> A�k/".11r11*n25ea ,Cl� i� c� <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 y� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I 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 permit 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 <br /> performance of construction. That I am authorized by the owner of this property to perform the <br /> work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and C <br /> 296.200 WAC., <br /> ZZgnature Date <br /> GENERAL CONSTRUCTION COMPANY <br /> REVISED OBIOG?074 <br /> E m�/� I� P.O.BOX 46-MUKILTEO,WA 98275 <br /> _ 425-294-6944-FAX-425-294-6947 <br />