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Dec, 17. 2015 3: 21PM General Construction Company 40 No, 6097 P. 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 95201 <br /> 425-257-8810 - FAX 425-257-8857^www.everettwa.org <br /> &Y""c &-YZ <br /> PIROJECT ADDRESS <br /> .&Y-EIA-K, P29BOX 3707 &Azo. 1y4 9F12312,707 X25 <br /> Owner Mall Address City SLaletZIp Phone <br /> Tenant Mall Address City Stale0p Phone <br /> �11��1Qpt���� . T(J�X Slly 7� �_ �Ji9z75 4,2�z9�/ ��� <br /> Electrical Contractor Mall Address city State/Zip Phono <br /> '1'�mE:Rm 9 s�oz oda 99 <br /> State License Number(required) City of Everett Busin <br /> ess License Number(required) <br /> b�C <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact NumberlEmail <br /> Number of devices(If low vo)tage) <br /> Description of Work to Be Done: 12, <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 242 , OD <br /> I hereby certify that l have read and examined this application and know the same fo 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 C <br /> performoncs of construction. That I am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and l <br /> 296.200 WAC_., <br /> 9neture Dale I <br /> GENERAL CONSTRUCTION COMPANY <br /> REVISED 06,OWd014 t � P.O.BOX 46-MUKILTEO,WA 98275 <br /> 425-294$944,FAX r 4J5-2( -6999 <br /> 0EW17 T �o <br />