Laserfiche WebLink
ELECTRICAL I I <br /> CITY OF EVERETT PERMITSERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 201 4111 Sf 5''') <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> OrN 51k Et4c.te,°t,i1-6-. ccis2,,S , 1-1'*'4,0If ,l,-c S-3 fiS.„9/k 601 q Z7i A —‘-ae737j <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> .•ITEESEIBA o513l7 <br /> State License Number(required) City of Everett Business License Number(required) <br /> G S-oa <br /> Proposed Use of Building Contract Price of Work <br /> IV517 L 4.c_ 42 - 7.CL7 - 72-22- <br /> Square <br /> 2- -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: N>:13 'SkW-i''"1 /JD"1(--- 200 `v^h d✓*r---1'") /^4,4`� <br /> • <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 SD.0 0 <br /> 1 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 I am authorized by the owner of this property to perform the E (i _ <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and [ © r <br /> �P <br /> 296.200 WAC. <br /> �l��rs <br /> Signature Date <br /> REVISED 08/06/2014 <br />