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 /> 5/4 '4/1A-- ( V- C lG . <br /> PROJECT ADDRESS <br /> u� .( i-ei j 5-/L-/ . / (i 7- `L—( VFzP k . eik_2/),1 4/25,2,6241 r <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City <br /> State/Zip Phone <br /> PS i'llaillL Lk.a—h r y o 1 134 vi.. •1-c. Wo` q 'Bl 1),,,8 0� 0 . <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> Q 19_ O� C•lj 3 d <br /> State License Number(required) City of Everett Business License Number(required) <br /> Igi3bo <br /> 'ropos?• Use Building - <br /> Contract Price of Work <br /> rtiSquare footage(If residential new construction remodel or .=,;\41:1 <br /> i{ 4-inw t9 O(a • d 13' -C`'1 a) <br /> addition) Contact Person/Contac umber/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: ) 0 ,.710,--1 \ '0011-4 r 2-"\-4-C _____ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 31o5 <br /> 715 I hereby certify that I have read and examined this application and know the same to be true and I D , <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, (i61 O <br /> J <br /> \d' <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and t �/ <br /> •...200 WAC. <br /> A—L� i _�■ • 7 <br /> Signature DJ �� <br /> ate <br /> REVISED 0&N6/20l4 <br />