Laserfiche WebLink
Tzai • Lyteff-i *rev\ <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 /> 6/0 L I 141)E S-c E\ .R-- WA- c?$'o t <br /> PROJECT ADDRESS <br /> 05/A1 AdViCsg-VM1 <br /> Owner Mail Address City State2lp Phone <br /> Tenant Mall Address City State/Zlp Phone <br /> 4Z5- 776-81(.9 <br /> Ve ,C205 20D*sem" 6vo qaS G <br /> Electrical Contractor Mali Address City State2lp Phone <br /> 1Ve '6`6M-S _ 02624-($ <br /> State License Number(required) City of Everett Business License Number(required) <br /> / Pg:TME14T ¶EMabEL — 32. 3 .6o <br /> Proposed Use of Building Contract Price of Work <br /> _ NA rI4A4 WA )4-1 L125SzI8- 17pz} <br /> Square Footage(If residential new constriction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of dices(If low voltage) <br /> Description of Work to Be Done: gEfAO e y '-g -A <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <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 state or local law regulating construction or the <br /> performance of construction. That!am authorized by the owner of this property to perform the E <br /> workofor which application Is made and!comply with the State Contractors Law 18,27 RCW and __- <br /> 296.200 WAC. <br /> 5— [9- IS <br /> tslgnature Date <br /> REVISED OA/OS/20 I <br />