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Jan. 12. 2016 5 : 5 7 A M General Construction Company No, 6113 P. 1 <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 /> -Z//) <br /> PROJ16CT ADDRESS <br /> OWner Mail AdOfess city Sl-ale/zip Phone <br /> V. <br /> Tenant Mall Address oily Slateop Phone <br /> Electrical Contractor Mall Address city Slale2lp Phone <br /> '74a7- 005919 <br /> State License Number(required) Oily of Everett Business License Number(required) <br /> 97, _ <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If resldential new construcllon, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(It low voltage) <br /> Description of Work to Be Done: lev <br /> FE=E <br /> CITY OF EVERETT LOCAL.SALES TAX CODE IS 3105 <br /> 1 heroby certify that I have read and examined this application and know the same to be true and <br /> con-eel. 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 regulaling construction or the <br /> performance of construction. That I em authorized by tho owner of this property to perform the E t <br /> worts for which application is made and/comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC.., <br /> Z�lv <br /> gnalure _Dale <br /> GENERAL CONSTItUMON COMPANY <br /> P.O_BOX 46-NvIU LTEO,WA 98275 <br /> REVi$FD OBN6/10 f4 L� 425-294.6944-FAX-425-294-6947 <br />