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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 /> 05 &,4 -6 <br /> PROJECT ADDRESS <br /> ,6rm� ?"'20 4BOX 370-7 A,4 98/2-12207 x.25 3-1'2.2/2 / <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> a&r��0i�� ,�x ill � ��1� <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> � o�a599 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 45yc'� Seo <br /> Proposed Use of Building Contract Price of Work <br /> X�t�ei.�iftmm�� ��wlT co <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: cg <br /> FE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31057 <br /> /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 <br /> performance of construction. That/am authorized by the owner of this property to perform the Ili/j1 loll <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC., <br /> gnature Date <br /> GENERAL CONSTRUCTION COMPANY <br /> P.O.BOX 46-MUKILTEO,WA 98275 <br /> REVISED 08/06/2074 7 �' 425-294-6944-FAX-425-294-6947 <br />