Laserfiche WebLink
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 /> / 72 a <br /> PROJECT ADDRESS <br /> BeA/V7-B- the,o 'L 4 o,i/giv,i /7z'/ fl //af/ 'e ( 6 <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 /> State License Number Contract Price of Work <br /> -Zh�%GI�v <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 231. 5 <br /> Square Footage(If residents ew c nstruction, remodel or ddition) <br /> �rG i <br /> Number of devices(If low voltage) 7- �� �� / SO crAi <br /> Description of Work to Be Done: le"" / i� 1 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 75 00 <br /> I hereby certify that l 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 1 <br /> performance of construction. That I am authorized by the owner of this property to perform the ` <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> • of vim. Lt1 ° 1 3 <br /> Sig a ure ate <br /> REVISED 3/20/13 <br />