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Jan. 11. 2016 8 , 30AM General Construction Company N 6 1 ( 9 P, , 2 <br /> T <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2578810 - FAX425-257-8867—www.everettwa.org <br /> PROJECT ADDRESS <br /> 3707 1(,)6 99/21/2207 X25- .3z22-212 l <br /> Owner Mall Address City State/Zip Phone <br /> Tenant Mall Address oily State2lp Phone <br /> Electrical Contractor Mail Address CI(y State/Zip None <br /> �'�I/ �e�r 9 goy 0-a59L1 <br /> State License Number(required) City of Everett Business license Number(required) <br /> Proposed Use of Buildings Contract Price of Work <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Etnall <br /> Number of devices(if low voltage) <br /> Description of Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 a <br /> I hereby certify that I have read and examined this application and know the some 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 proporty to perform the E <br /> work for which application is made and I comply with the State Contractors Law 98.27 RCW and <br /> 296.200 WAC.. / <br /> 9nalur0 Date <br /> :& GENERAL CONSTRUCTION COMPANY <br /> Rewse ooeroa2oiQ E� �L P.O.BOX 46-MUKILTEO,WA 98275 <br /> 425-294-6944-FAX-425-294-6947 <br /> 225 <br /> Ilei, �I�mm�le ® ki�wir- coni <br />