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z5 -aZ>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 />PS ® EUeke-rT Wt� • GoV <br />PROJECT ADDRESS <br />a1Ea=LD 46 <br />OX -3 707 n��'1 {"�, y, )A �/-J] �7(7 C'J/ % /�/7l�f L•,[//7 <br />I - J / (J IZ / LO7 / G �/ • / ! �/� <br />Owner Mail Address City State/Zip Phone <br />Tenant Mall Address City State/Zlp Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />9 S-�oz <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />ova <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />FEE <br />�l p0 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 S?wr <br />I hereby certify that I have read and examined this application and know the same to be true and <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 of any other state or local law regulating construction or the r D O . /-y <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC.. <br />- - - I Nw. , **., t 7W00'' mol <br />REVISED OM62014 <br />GENERAL CONSTRUCTION COMPANY <br />P. O. BOX 46 - MUKILTEO, WA 98275 <br />425-294-6944 - FAX - 425 -294-6947 <br />