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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.everettwa.org <br /> • <br /> • <br /> t! A/o <br /> PROJECT ADDRESS <br /> t& htl - •,Box 3707 .G()/9 1-.25-3-51,02-242/ <br /> Owner Mail Address • City State/Zip Phone <br /> Tenant Mail Address City State 'co _� <br /> � <br /> l)9 6./82_75 3125-291-69 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> ,41,50 <br /> State License Number Contract P cn a of Work <br /> • <br /> • <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) • <br /> • <br /> • <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: y4 /l.Q ,4 t" 4e,V,21_4p 7a& <br /> • <br /> FEE . • <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> • <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.orcancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the E t ?j o '_ COS <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 298.200 WAC. <br /> • <br /> e.24.11/1-11"A" <br /> nature Q nn D e <br /> / a "9 ! GENERAL CONSTRUCTION COMPANY <br /> GfiC.C� ./ �( •� F.O.BOX 6944-FAX <br /> -4 -WA 98275 <br /> REVISED s/XY19 4M-294-6944-FAX-425-254-6447 <br /> • <br /> Z/I:aFed L588L5Z5Zfi6:ol. a11o13 Lig=ZZ £Tog-i'0-1411.1" <br />