1915 106TH ST SW 2016-09-15 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857—www.everettwa-org PROJECT ADDRESS _ 0 ,) ,o Ivy D AV 0.M 0.s a U D ll e—. Owner Mail Addressl AddressCity State/Zip Phcna Tenant Mail Address city State/Zip Phone — 1 Z�L'�r. S k �+6 q$cs ��-{ I'C'-r Electrical Contractor Mail Address City State/Zip Phone• State License Number Contract Price of Work e °5 yk Ck I&Irwnava )geD1urchU rroposed Use of Building Contact Person (Plan Review) � z$0 Square Footage(If residential new construction, remodel or addition) Number of devices ( low voltage) / Description of Work to Be Done: ®0 el-7 r r, J2 -F P f 4-4"a re r FEE CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 1 hereby certify that 1 have read and examined this application and know the same to be tnie and • correct. All provisions oflaws and ordinances goveming this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and "`6.200 WAC. ' chi re ate REVISED 3/20/1;