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/OZ 9'-';7 5 <br />3, 00 7 <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 />eveke-T7W4- GOV <br />0-3 -/ <br />PROJECT ADDRESS <br />23��T po"o BOX 3 707 Av6 9 F/24-2 207 -5�z5- e3z1Z- 2/2 l <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />JAawz���� '8&/ 3�6 �� <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number (required) City of Everett Business License Number (required) <br />!�/ '00 <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 to Be Done <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this application and know the same to be true and v <br />connect. 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 l am authorized by the owner of this property to perform the E I I r <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC., <br />gnature Date <br />GENERAL CONSTRUCTION COMPANY <br />P. O. BOX 46 - MUKILTEO, WA 98275 <br />REVISED oero6,2014 , 425-294-6944 - FAX - 425-294-6947 <br />