Laserfiche WebLink
FROM :Dick Howard & Sons Electr� FAX N0. :4257765895 �Oct. 29 2015 12:25PM P2 <br />EL�ECTF�ICAL PERM�T APPLICAT'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR�ET, EVER�TT, WA 98201 <br />425-257�8890 - FAX 425-257-8857 — www,everefitwa.gov <br />_ �� av � �z�w�o �e '�cr�-��, <br />PROJECT ADDRESS <br />' c�l��v- cA ��ti ( ��-�i2� l� ��1�v� �v�-r� W J� �� �� 1 <br />Ow�ef Mail Address City State/Zip Phone <br />� <br />Tenant Mail Addreas Ciry State/Zip Phone <br />PoS�rc `� �( �( �OU b y�-5 � 7, 5-I �i I�s' <br />Da�.�� � �.� ��� �-�e� �c���� �,►� �.,-�,�� C't:\ "�AA�A1n, ..,_��, ��,�. �_ <br />EIOCtrl�af COntl'aCtof Mall Addreae <br />'� IC 1� � S� 13� 2� <br />State License Number (required) <br />R�sL�.�-�� <br />Proposed Use of Building <br />Square Footage (if residential new cdnstruetion, remodel or addition) <br />Number of devices (!f iow voltage) <br />Descriptian ofi Woric to B� Done: <br />CITY OF EVERETT LOCAt 3AL£3 TAX CODE IS 3105 <br />e�� <br />City <br />Phone <br />LJ � l � l-'l b <br />City of Everett Business Licensc� Numbar (required) <br />���o^ <br />Contract Price oP Wark <br />L� a-s- �-� 5-1 �f 1 <br />�eanvt'�.�� l-��.�_ � 1�ac� <br />Contact PersoNCo tact Number/�maii <br />�� �S%�1 � �V\v��� �-c ►� <br />�,', !� V�cx `i � • C.e'N/� <br />! hereby certify ti�at I have read and examrned this application and know the same to ae true end <br />co�ract. All pravlsions nf l�ws and ordinanees governing thfs type of work wip bo comp/eted <br />whether specified herein or not. The granfing of a permif cloes not presume to �ive suthority fv <br />violate or cance! ihe provisions of any other state orloca/ faw regulafing construcfion or fhe <br />po�fo�m�nco af ��nstrr�ctinn. That l am eufhorized by the owner of thrs praperty to porform the <br />work for wl�icH application is made and ! comply with the Stafe Contracfors Law 98.27 RCW and <br />296.200 WAC. <br />'�1 ��A��►Y�-�nD l D.�1 pR,� lo� �4� � � <br />RLVISCD OdPo8201J <br />F� E <br />��l��c� <br />PERMT7� <br />E 15 I � - 22� <br />