Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIOES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857`—www.everetlwa.org <br /> LWm4s-r F-4f.4aErt- WA ,98zoi <br /> PROJECT ADDRESS' •- <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zfp Phone <br /> 'rl Lltjo,Wbob : WPP 9899G <br /> Electrfcal`Contractor Mail Address City Statelzip Phone <br /> , r ty o$S tits 02.6 2.q _ <br /> State license Number(required) City of Everett Business License Number(required) <br /> A?A1?-TME-SEmODEL \$3Y2S .00 <br /> Proposed Use of Building Contract Price of Mrk <br /> Square Footage(If residentlai new constF.rctIon, remodel or addition) Contact Person/Contact Number/Email <br /> _ W <br /> Number o devices(If lowvoitage) <br /> Description of Work to Be Done; ._egWiV J `i` r _ j6W1 -_._F-PJ._ <br /> FEE - <br /> CITY OF EVERETT LOCAL SANS TAX CODE IS 3105 <br /> I he"rabycertify that/have read and examined this applicatdon 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 specttred herein or not. The granting oft permit does not presume to give authority to PERMIT# <br /> violate orcancel the provisions of any other state orlocal low regulating construction or the J <br /> performance of construction. That i gm authorized by the owner pf this property to perform the E 6 a r-OZ,3 <br /> work for wITIch application Is made and/comply with the State Contraotors Law'18.27RCWand <br /> 296,200 WAC. <br /> - Signature Data <br /> j <br /> _Rev�sm oaresnut< r <br />