Laserfiche WebLink
Oct 21 14 11:45a Custom Communication <br />253-536-8456 p.2 <br />ELECTRlCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, Wq g8201 <br />42�-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�I' ��� ��,�. � ��--� <br />2110 Pacific Ave, Everett 98201 <br />PROJECT AQDRESS <br />TRIPLE J PARTNERSHIP PO BOX 150499, SAN RAFAEL, CA 94915 United States <br />Owner Mail Address <br />City State/Zip <br />Orkin <br />Tenant <br />2207 Everett Ave Everett, WA 98209 <br />MaiE Address City StateJZip <br />Phone <br />425-252-8580 <br />Phone <br />Custom Corr�munications Inc PO Box 44458, Tacoma WA 98448 253-536-9183 <br />ElectriCal Contractor MaiE Address City StatelZip Phone <br />601326754 <br />State License Number (required) <br />Offices <br />Proposed Use of Building <br />exisiting buildinq <br />Square Footage (If residential new construction, rernodel oraddition) <br />�� �`" �� � CC� J �L-J <br />Nurnber of devices (If I�w voltage) <br />Description of Work to Be Done: <br />Irrs#alli�g 40 voice and data cables in existin buildin . <br />GTY OF EVERETT LaCAL SA�ES TAX CODE IS 3105 <br />053 5��� � <br />Ciry of Everett Business License Number (req�ired) <br />Time and Material-not a contract <br />Contract Price of Work <br />Tamie Cruse tamie c(a�custom-teJe com <br />Contact PersoNContact NumbeNEmaif <br />! here6y certrfy thaf 1 have read and examined this application and know the same fo be true and <br />correct AIf provisions of laws and ordinances goveming this type of wolic will be completed <br />whether specified her�in or not. The gran6ng of a permit does not presume to give aufi►oriiy to <br />violafe or cancel the provisions of any otherstate orlocal faw regulating constn�ctron or the <br />performance of construction. That I am authorized by the ownerofthis property to perform the <br />woric fo� �vhich application is made and 1 comply with tfre Sfare Contractors Zaw �8.27 RCW and <br />296_200 WAC. <br />��'�`� '�" �"`� October 21, 2014 <br />Signatur+e Oate <br />REVISFI] p8.D6/y014 <br />FEE � <br />✓ � ' <br />PERMIT# <br />E � �� �-- ��5 <br />