Laserfiche WebLink
Jan, 8. 2016 12 : 19PM No. 1489 P, 2 <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 />' f <br /> PROJECT ADDRESS t4 <br /> owner Mall Address City Stale/Zip Phone <br /> Tenant Mall Address City State/Zip Phone <br /> >!� 'Ric4 . 10`7 air,Lt r ........._.. :m t _._. <br /> Electrical Contractor Mall Address City State/Zip Phone <br /> 0 15 <br /> State License Number(required) City of Everett Business License Number(required) <br /> l Lel tii(z b,or <br /> Proposed Use of Building Contract Price of Work <br /> • <br /> Square Footage(If residential new construction,remodel or addition) C ntact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: C.�'t % i ' ,V ( a ' rliVV <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby giddy that I have read and examined this application and know the same to be true and <br /> correct. 11A1 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 PERM IT/t <br /> violate or cancel tho pmvisionc of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this propeity to perform the E -D <br /> work for which application is made and I comply with the Stale Contractors Law 18.27 RCW and <br /> 296.200 WAC.,f <br /> Signature — p x �t <br />