Laserfiche WebLink
�- ---- �----- • --- --- --- ----- -- <br /> ELECTRICA►L PERMIT APPLICATION I <br /> CITY OF EVERET�" PERMIT SERVICES I <br /> � 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810 - FAX 425-257-8857 -www.eve!ettwa org , <br /> I <br /> � � I � S C.o�ey sTK � <br /> PROJECT ADDRESS <br /> I ��x0y PeoPcssi�n;ac G��- .3�2i C'oUJy lu�t:�T� w/} 98aD! <br /> Owner tda•I AOOress �'�y <br /> SlatelZ p Phore <br /> ��_G-ODC)MHN ��td �,as carss 5?ES E,.��rr L✓� 9t��o� _ <br /> l enant h72tl Add�rss ���Y <br /> Slate�Z�p Phone <br /> i �17i�L CL�c w� ��Il�� MC�,lott �1LL �K (V 's"rT � 1 p..Z� � �GU-L6/-07 �( <br /> ' A9a�l AOdress City Stale�Z p Phone <br /> ' [tecirical Contractor <br /> I � � UUU °= <br /> I /�✓����Eri �i2GQ� � . <br /> State License Number Conlracl Price ot Work <br /> I Proposed Use ot Budding Contacl Person (Plan Review) <br /> � <br /> Square Footage(if residential�ew construction, remodel or adddion) <br /> I <br /> i n <br /> Num6er of devices pf low voltage) <br /> �, Oescription nf Work to 6e Done'. <br /> /,��5[ia�vr�.ci n�`�i f1Nl� ��• Cv,vNt��i I,�fEcJ �.'tU <br /> � . <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 7 Z ✓ ` <br /> �hemby ce�tJy fhat I h�3ve read and examined this application and knowlhe seme fo be We and <br /> correcf. �II provisions olla�vs and ordinances qoveming this lype ol�vor..will Ge complefed <br /> �vhefher specified herein or noL The granting ol a pernnt does nof presume fo give aulhonty to PERMCT# <br /> violafe or cancel the provisions ol any ofher sfate orlocal iaw regulaling constniction or the E � � � 3 _ � 3 3 <br /> performance o/consfrucfion. That 1 am authonzed by the menero/tliis property to pedonn fhe <br /> worN(or which application is made and 1 comply�vdh the S(afe Contraclors La�v 18.27 RCW and <br /> 29G.:00 W . <br /> � � > � ' ��t <br /> � <br /> Iignatore Da1e <br /> I <br /> Lnev�SEovtc-u _ _ __.__ _'_'--'—__ _ _.— _— '--_.— _ __ _ <br />