Laserfiche WebLink
���-� �� �- � ��- � � �� <br />� <br />ELECTRIC,AL PERMIT APPLlCATiON <br />C1TY O� �VEI�EiT PEF2MIT SERV�CES <br />320� C�DAR STR�ET, EVER�TT, WA 98201 <br />425-257-�840 - FAX 425-257-8857 — wv�,v.everettwa_gov <br />� 7�7 �c_f!-�C�e.� A-v� <br />PROJECT ADDRESS <br />� (� � <br />��il f� i�r�GUr�./� G.�2�. Gt.� G�v-�, (o� j--o��CO <br />Owner MaEI Address City Stafe/Zip Phono <br />� /� <br />TenanE Mal1 Adaress Ciry Siate2ip Phone <br />IfC�►�tci.�?l � e �-� � c, L 72� � 3 �` P /, �� ����.. � � �S� � ��s � � � 7 7 <br />Electncal Gontracior Mail Address City SCatel�ip Phone <br />�(��i��.' I^�i�11�� <br />State License �Sumber (r�quired) <br />�� r�� <br />Propos�d Use of 6uilding <br />Square Faotage (If resiqenFfaf new construction, remodel ar additian) <br />� �. ��l %, <br />City of Everett Business License Number (required) <br />�c�v�- <br />Contract Price of Work <br />,, ` ' - i <br />��Q- � .r� <br />ConteCE Person/Contaci Nu iber/Email <br />Number of devices (If low volfage) � <br />� <br />[3escription of Work to Be Done: ���� �'' C�� ���.(���'� Q�.z�: ��"-- <br />CITY OF EVEi2ETT L�CAL BALES TAX COD� IS 3705 <br />l her�by cerfify thaP l have rsad and examined this applioafion and know the sam� fo be trua and <br />corr�cf. All provrsions of laws and ordinances goveming this type of work will be completed <br />wnerner speci�leu he�ein or rtot. �he granting ot a permlt does not presume ro glve autho�ity to <br />violate or cancel fhe pmvisions of any otherstate or loca/!aw regulating consfrz�ction or the <br />p�rformsnce of consfrvcfien. Thst / 8m aufhoriz�d by fhe owner af this properfy tfl perforrn the <br />work for wh;ch spplication is made and ! comply wifh the Sfate Contractors Law 18.27 RCtN and <br />296200 WAC. <br />/� <br />R�t?SED OFNR2Q7d <br />FEE �� � <br />� �/�� , <br />PERMITI� <br />�IUI��—��1 <br />ze�ze �J'�d �I�il���l� �I�QNa� 998ZZ955Zb �Z �9Z 9T9Z,�ei�5e <br />