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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 /> z -/ 7 -4O ' • <br /> • <br /> "t 3 <br /> ; . , eoe /V-5 <br /> PROJECT ADDRESS <br /> .f. //tl& Box 37b7 t9Aezfet. GeA9 918/2-$1-.2742, 7 3 m2-,2/,Z/ <br /> Owner Mail Address • <br /> • City State/Zip Phone <br /> Tenant Mail Address AddressCity Statealp Phone <br /> d/25 29 =49117 <br /> 47JJA2JWILth 6'9X i�i1�� 061518Z75. 425:291-6951-z/ <br /> Electrical Contractor Mail AddressCity State/Zip Phone <br /> ooa <br /> State License Number Contract rice of Work • <br /> • <br /> • <br /> • <br /> • <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) • <br /> • <br /> Number of devices(If low voltage) <br /> • <br /> Description of Work to Be Done; /2 / $32) S <br /> /1 ///, /A%_/ Grn /1�1' <br /> FEE . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1c2ez7 e <br /> I hereby certify that I have read and examined this application and know the same to be true and ll// <br /> correct Ail 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 of1anyotherstate or local law regulating construction or the Q� <br /> performance of construction. Tha.I am authorized by the owner of this property to perform the E l 30'7 -- 1 D O <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 286.200 WAC" <br /> nature atei � rr'"'tr*".,/7 Me®}C Eld e-o/1 <br /> , e9 &/ <br /> GENERAL CONSTRUCTION COMPANY <br /> REVrsG-0 320113 P.O.BOX 46-MUIQLTEO,WA 98275 <br /> ��/� 425-294.6944-FAX-425.2946947 <br /> Tii=aled Lg88L5Z5Zi76=o.L :tuoi3 50:L0 £TOZ-VZ-10.f <br />