Laserfiche WebLink
6rian's Pnnter <br />3604246265 P � <br />ELECTRICAL PERMIT APPLICATION <br />GITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —vJwv+.everettwa.org <br />�3� � R vc�E2 14�� <br />PROJECT A�ORESS <br />Cn1c2Lf :Sm,rrN y3�� <br />�W�Bf MBiI AACfP.55 <br />� _is--t3 <br />�= ►30�.�5`� <br />;f �s <br />�_ ��7aG�iT h.2��� zs�s �3`�� <br />Ciry S13IC/�ip Pliufl^_ <br />C I<'�{YVIP.L'J ;::�IC�SS �c.;, <br />Tenanl <br />�daii POCmss Cily Stote2iV Phune <br />��O <br />�/ , , dc. °�� ` �7 J u�x-r,.: ..:�� 9 "' z� �zC <br />//-�1�L'A�iON L//.. StalMZip Ptmne <br />[lectncal Con;rador Pdai ndcress ��N <br />op <br />��Nnr2T!-9�zrn5 �to� _ <br />5tate L��.cense Number ConVact Pnce of Work <br />Prc�poseC Use of 6ui���.din� <br />Square Pootage (Ii reside�riial new conswction, remctlel or atlddion) <br />Number of Qev�ces (If lowvol•,age) <br />RJ°/<7� /2lCl� <br />Contad Perscn (Plan Revie�.v) <br />Desc�F�ion o` bVork to Be Uone: � l �I�r/ h7(� �7 �D t 1 T �� Z� �� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />I hereby cmfi(� (ha! I Oava mad and ezamined this applieatiat and knOw fho samo fo be In.�e nnd <br />cnrrecG All provrsiuns o! laws and oMmances govoming this fype ol work v.rll be completed <br />whelher speci�ed hercin o�not ihe qmnlin,q o/ a permif ��ocs nof pmsunrc fo give authonty to <br />violafe or cancel !he provisiorts ol any ofherslaro orlocallaw rer�ufating ennslru;;hon orlhe <br />peAom�once of constrvclion. 7hat 1 am aufhorized by Ihe owner of this praperty to Fedomi fhe <br />wo,�k Ior �vh�d� app�ication is ma�a and f cornply u•�th tlre Slalo Contracrors la�v 78.27 RCW ar,d <br />296.200 WAC. � <br />� /�S <br />e.: v�sen a: a�� � <br />(L-[ <br />�">`�� �I> <br />PERMI7k <br />, E �-�C�-c�SI" <br />