Laserfiche WebLink
Sep. 8. 2015 9 :48AM No. 0824 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.or9 <br /> PROJECT ADDRESS <br /> 6a& &w"S" <br /> Owner MailArldress Gly Slato/ Ip Pi ono <br /> Tenant Mail Addresa Clry T Stale/Zip Phone <br /> /1/015- to <br /> Elec a'al Contractor Mail Addrass V City Slate/zip Phona <br /> 1 C'e" ®5-;tY"tq <br /> SOP License Number(required) City of Everett Business License Number(required) <br /> &NM 1,64W "dl- `-41 <br /> roposed Use of BLAding Contract Pri a of Work <br /> 7 J(e o <br /> Square f=ootage(If residential new construction, remodol or addition) Contact Person/C ntact Nu bar/Email <br /> !I w 60�ei� Gf� r ej�YYV <br /> Numbor of AQvicas (It low voltage)Description of Work to Be Done: AJ h� Vd6,0 <br /> FEE <br /> CITY OF EVERETT LOCAL,SALES TAX CODE IS 3106 <br /> I hereby certify that I have read and examined this application end knew 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 here/n or not. Tho granting of a perrrrit does not presumo to give authority to PERMIT# <br /> violato or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That l am authorized by the owner of this property to perform the E Oc <br /> work for which application is made and i comply with the State Contractors t-5w 10-27 RCW and <br /> 296.200 WAG. <br /> wr SignHtur6-1`3-� 77 1 --7 zy 3 <br /> ppty <br /> R�Vl3R�Otlro6P>014 <br />