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�., <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.everettwe,org <br /> �1/E12�'`�l->=PS ® E2�T>-VVf}• GOV <br /> PROJECT ADDRESS <br /> 2aE/A� .fox 3 7o2 q5,w� Avg 9 9124-2 207 -51-z6. 31"2-2/z <br /> Owner Mail Address City Stale/Zip Phone <br /> u, <br /> Tenant Mail Address City State/Zip Phone <br /> 16&x 3 6 N(Z� 992-75 -�125 z9��i� <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> A�'ei.H1ginrw-a <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 /> FES / <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �y/� x�� <br /> i hereby certify that i have read and examined this application and know the same to be true and !! v <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 <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and I <br /> 296.200 WAC., <br /> gnature Date --- -- --- - - - 1 <br /> GENERAL CONSTRUCTION COMPANY <br /> REVISED 08/002014 P.O.BOX 46-MUKILTEO,WA 98275 <br /> 425-294-6944-FAX-425-294-6947 <br />