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Apr. 29. 2015 2: 13PM General Construction Company No. 5760 P. 1 <br /> oo.32-9.-i-r3597 <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.evereftwa.org <br /> PROJECT ADDRESS <br /> - A . Pi FDX 3 0 4)4 .9r/2i/2207 425- •2/2 <br /> Owner Mau Aadress City State/Zip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> Electrical Contractor Mail Address CI(y Stale/Zip Phone <br /> t EIl/ei2C'r'. 9 S OZ- (3° 15 91 <br /> State License Number(required) City of Everett Business License Number(required) <br /> :5 1/04 <br /> Proposed Use of Building Contract Price of Work <br /> • <br /> • <br /> . Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> • <br /> Number of devices(If low voltage) • <br /> Description of Work to Be Done: 11 ,l� 4/14)6V.1/)2VO0(l7/! <br /> FEE Jae <br /> • <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 // r <br /> I hereby certify that f 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 PERMXT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I em authorized by the owner of this properly to perform theti) <br /> work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and r <br /> 296.200 WAC.,, <br /> • <br /> • <br /> gnalure Date <br /> GENERAL CONSTRUCTION COMPANY <br /> /1•/ P.O.BOX 46-MUKILTEO,WA 98275 <br /> REVISED 08/0612014 <br /> / r i 425-294-6944-PAX-G25-29-6947 <br />