Laserfiche WebLink
0 0 <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.gov <br /> l� 4 Sic- F VsLd± Ho-\1 LJc'A <br /> PROJECT ADDRESS <br /> -C Q P I K)%1-0s"<L- 5 ��1 1 �sD P 1. D ►�� n nc..�c�c�r-9. `�1 � <br /> Owner Mail Address City tate/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> I n orwa Syc & \Qt'-oc ,I or c7 E:)Ox `-tap)"-A EV-OSQ-4 C ---)f) <br /> Electrical Contractor Mail Address City LAaSateA,:Z,. .P ne <br /> IN, lVC7L-DCIC7�� y_E 2)la z5 F, o �U <br /> `State License Number(required) i City of Everett Business License Number(required) <br /> E 1 1fl i m -4 1 �aK S��`�O� a co <br /> Proposed Use of Building Contract Price of Wore ,,C-.�u 'LA Yl C� <br /> -� q2l,� ago <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/%oontact Number/Email <br /> VlY)c - cJ 1nnC) e-A�\VP - Q� <br /> :a <br /> Number of devices(If low voltage) \ <br /> Description of Work to Be Done: e—\r1� t oc, 1 1�o <br /> Y-)C) A-n. . .�L_ M r-) V) ,�>� 1 Y1 c,, .vim 4 A r� l� <br /> C <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 <br /> /hereby certify that/have read and examined this application and know the same to be true and C� <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 ���' 0 <br /> performance of construction. That/am authorized by the owner of this property to perform the t <br /> work for which application is made and/comply with the State Contractors Law 18.27 RCW and <br /> 2 .10 WAC. <br /> Si 2 Date <br /> REVISED 08/06/2014 <br />