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l02925 -z2W <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 />IE�VeFkeT rEP5 ® EdERe rTW/i. GOV <br />PROJECT ADDRESS <br />>°O ByX 37D7/z�- 2207 -S�Z 3112• 2/z / <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />Electrical Contractor Mail Address City State/Zip Phone <br />�it/eg= 9 94oz <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 />a�Description of Work to Be Done: u <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />I hereby certify that 1 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 <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which application is made and / comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC.. <br />G/N <br />FEE <br />/610 <br />PERMIT# <br />Eioo�-010 <br />GENERAL CONSTRUCTION COMPANY <br />P. O. BOX 46 - MUICLTEO, WA 98275 <br />REVISEDOW62014 �C/%J/�/� � L6,' 425-294-6944 - FAX - 425-294-6947 <br />