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Ah <br />/fJZ9R0 - //99 95. 6 <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 />PROJECT ADDRESS <br />32E� .�T ?1029.60X 37,0% dZW2& GV4 9,'/2--1'- 2207 -126- 351Z-z/z / <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />-1252 W� <br />Electrical Contractor Mail Address City State/Zip Phone <br />AC-A46::RO-4 9 5-5107- 0-�05 9q <br />State License Number (required) City of Everett Business License Number (required) <br />Proposed Use of Building Contract Price or work <br />%�f��e/• i��/yI/Yl�ie®CC�/T, <br />Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br />Number of devices (If low voltage) �J �- <br />Description of Work to Be Done: t�/,�Ql/a& J���%�� <br />r <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that / 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 PERMIT# <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />REVISED OW62014 <br />etIF 1IM11L <br />�i <br />GENERAL CONSTRUCTION COMPANY <br />P. O. BOX 46 - MUKILTEO, WA 98275 <br />425-294-6944 - FAX - 425-294-6947 <br />