Laserfiche WebLink
ELE�TRICAL PERMIi 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 />���7 �3 <br />�i�r.�f�A��'vf ���LS's.�-/�l� <br />PROJECT ADDRESS ��� �� �L, �/� (,(/ <br />��3 <br />Ovmef MailAddress <br />�_ �-� -� f <br />E!.`�J7-��!' <br />r�'l�-.�y /'�!/,o � �° �/' <br />City <br />StalelZip <br />Phone <br />Tenanl MailAddress Ciry StatelZip Phonc <br />>� !/ / <br />i S/'%I .��'�'1�i�.S /� i � sR S ��c'' r,i vP'/ ���y% 3� <br />�l'l ll/r � <br />EleclriealConiractor MailAddress City � State2ip Phone <br />�, �i�i G/��� —Q�� />6T> <br />State License Number (required) Ciry o( Everett Buslr.ess License Number (required) <br />���G �'��T� <br />Proposed Use of Building <br />Square Foolage Qf residential new conslruc�ion, remodel or addition) <br />-7o U <br />Coniract Price of Work <br />Conlacl PersonlConlacl NumbedEmail <br />Number of devices (If low vol�age) <br />/. / / <br />Description of Work l0 5e Done: �� �-/.�.�_1 ��� .�L�—. <br />FFE ^n <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /„ y✓ <br />l..(/ ✓ <br />I hweby cerii/y Ihaf I have read and examineU fhis applicnlinn and knov� (he surne to be (rue and ___ ___— <br />r,orrecl. All provisions o/laws and ordir.ances goveming Ihis type ol wodc wi06e completed ----- --- <br />whefhcr spe,cified herein ornoL The granfing ol a pennif daes not presurnc !0 9ive aulhority to PERMITJI <br />violate or cancel Ihe pmvisions oI any olhersta�� oriocaf law regulafing conshuc(ion or (he ��� O� I I r j/7 <br />pedom�ance o! consfructian. Th�l 1 arn aufhonzed by (he ownerol fhis property (o pedonn the � I�I <br />wo�k Ior which applicalion is madc and I wrnply v�ilh "; slafe Contrac(ors I.aw 18.27 RCW and _ <br />Ht W SEO atwf.Rn rJ <br />� <br />