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aiee9. oo/ 41-1049 <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 /> JVa-el I £P5 ® EVEkernN r..Gov. <br /> 2-/o .3 6( 122-/ .P, <br /> PROJECT ADDRESS <br /> .fir/ ,6- to.Box 3707 && Ie)/9 9V21/2207 -11,25= .32.2/2 <br /> Owner Mail Address• City State/Zip Phone <br /> ,- <br /> ,r. <br /> Tenant Mall Address City State/Zip Phone <br /> 41.4a16 ' i?1' ..kik 7 x. /4.77 d_ 4'/92275 -/252941�91 <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> • <br /> 4Eit/ Ree 98-40z. O '5 9 <br /> State License Number(required) City of Everett Business License Number(required) <br /> 7a, 0 00 <br /> Proposed Use of Building Contract Price of Work <br /> the' f ''il?r E46 0Ezar. Com! <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> • <br /> ' <br /> =iNumber of devices(If low voltage) <br /> • Description of Work to Be Done: Z,�..i„/'_// ///_/ ///1.4...%sir i•%%«�+-/4./„%.� <br /> - ai.d .4(44/071-4,1/_, 0 _b ,g ANIMIPW.• / <br /> FES <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 'l / 7 7 <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 PERMIT# <br /> violate or cancel the provisions of any other:state or local law regulating construction or the E 1 01-4 <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!comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. . <br /> gnature Date � <br /> • <br /> GENERAL CONSTRUCTION COMPANY <br /> P.O.BOX 46-MUKILTEO,WA 98275 { <br /> REVISED 08/06/20144 <br /> 425-294-6944-FAX-425-294-6947 <br /> I <br /> • r <br />