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Jan. 11, 2016 8: 31AM General Construction Company 0 6109 P, i3/ 15/ <br /> • <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 /> 81 e, <br /> PROJECT ADDRESS <br /> 'ZA..K15- ea PDX 37o7 Sia kv'9 9V/2412207 1125 3$12.2/2/ <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mall Address City State/Zip Phone <br /> 1/4,111 _>>1,.4 1, i Athxi/6Vid..26)/e)/99g275 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> g40 60ga599 <br /> State License Number(required) City of Everett Business License Number(required) <br /> /4717 4v./ <br /> Proposed Use ofB .ld.ng Contract Priceor Work <br /> 1) <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: /,)-6 V f `- 00 V AA_/74 — 0.,(071.A-7- <br /> % /g- <br /> ti . t,t_e/g— LI—C O ? <br /> FEE , <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 'W/o <br /> I hereby certify that I 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 slate or local law regulating construction or(he <br /> performance of construction. That I am authorized by the owner of this property to perform the E l n 0 1' <br /> work for which application is made and I comply with the State Contractors Law 98.27 ROW and �1� "( <br /> 296.200 WAC.,, <br /> gnaiure • Dale <br /> ,,,, ill � %�¢� GENERAL CONSTRUCTION COMPANY <br /> RE lSaDO&Dfif1014 �7 i�/(!G!J/ `f' P.O.BOX 46-MUKILTEO,WA 98275 <br /> �7i. 425-294-6944-MX-425-294-6947 <br /> X 12 /¢///17n'I k/ /T60/4 <br />