Laserfiche WebLink
_.------------- --...-- --- _..._.. __ __ . _ . <br />ELECTRICA�. 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��?`:�, �=�_ " g ,.� ��� <br />PROJECT ADDRESS <br />, <br />, i r. �- � - <br />�i.?.�.k� '>k tio � �r �4.�.i;�..�`�,�..�:::�..,�..�.i ���:' .�:;���.�..�:_ _ ,� _ ;..� _�'.�..���� - .,��.�.��- �`�.�....� �.��! ...�� <br />Owne�� �N Mail Address City State/Zip Phone <br />7enant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />4 _l�'�''.$.:....k..�V���`•.� _ ��`�L ll ��„�i��.C� ��1, �ll.�fl_'i 4. 4 �t,�,`..�,� ���J��J� .-sY�� .jCt?'..�1,� ,... j/�4.�',..� <br />EleCtriCal Cont�actor Mail Address C1ty State/Zip Phone <br />`r= �����t ��=,��>��.� --- <br />Sf�ite License Number (required) <br />�. �+'i�'a'�r`'.4.S��C��.. _ <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City of Everett Business License Number (required) <br />w..���i�"�� � �`��� <br />Contraci Price of Work <br />�,.���� ` , � r. <br />l�i_� �y.i1�.::ir—L��....�.i.41�.}�.__..�_x{ 7'�`)...., ? �,..1_�{ � c='.�� _ <br />Contact Persr�nlCont�ct Numbcr/Email <br />„ <br />� � t `,t>�,��` y�w<<ti'��+'Ls�K�;��t`�.t'tti��? .('�Q:)tY`l <br />� t , . �_. <br />Descri tion of Work to Be Done: `�i � �`l �� > j � <br />P _�ii.. ��' ..� t L ,.�a'�.��1_�,.:' . �. � 1,�� � ��( ( �r \1��.�`? �� �. � } ,�i,�, a <br />. t_� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerfify that I have read and examined this applicafron and know the same to be true and <br />correct. All provisions of laws and ordinances governing thrs type of work will be completed <br />whether specrfied herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performanc,e of construction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and I comply wilh the State Contractors Law 98.27 RCW and <br />296.20� WAC. <br />REVlSED Od/Ofzr20f 4 <br />`_! l �L .� <br />-- �t��,i�— <br />� <br />FEE <br />� l � I a��= <br />PERMIT# <br />E I �"��'�`��� <br />