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e6� <br />0 925 - 20 . c,07 <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 />eVEP-L-- fi 9 PS ® eVE-keTT-Wli • CoV <br />PROJECT ADDRESS <br />) �/] <br />2-,�T I'o .6o/\ 3 707 14 6 / FI212 zoo -126 3z12- 2121 <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zlp Phone <br />JZZZ ��r �,,'�� -�125Z9��9 � <br />Electrical Contractor Mail 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 />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 toBe Donee: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />l 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 <br />PERMIT# <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />/ <br />performance of construction. That I am authorized by the owner of this property to perform the <br />E <br />work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />REVISED 0810612014 <br />GENERAL CONSTRUCTION COMPANY <br />P. O. BOX 46 - MUTCILTEO, WA 98275 <br />425-294-6944 - FAX - 425-294-6947 <br />