Laserfiche WebLink
■I <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.gov <br /> L l -IDS 5 i ve is L� ve 9e 2oS <br /> PROJECT ADDRESS ��- p5-7 -'733t-f <br /> E , NJ. rAuL,----, (,64- S2,OS <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> fgCAA-tVL932-t3 Z <br /> State License Number(required) City of Everett Business License Number(required) <br /> PEKITA� P000 <br /> Proposed Use of Building Contract Price of Work <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: 1 YA) S--�J,�t �--2� O(A,. f V �— (1; 1V �57Z. <br /> � <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� r <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 speci a erein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or r.ncel the provisions of any other state or local law regulating construction or the %CI perform. e .f con.truction. That I am authorized by the owner of this property to perform the S (9-fp <br /> work f. hich ap.'ication is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.20► WA <br /> 40 <br /> #C77 <br /> ( - g zo/ <br /> Date <br /> REVISED 08/06/2014 <br />