Laserfiche WebLink
• <br />ELECTRICAL PERMIT �4 PL.iCi4°TI �I <br />CITY OF EVERETT PERMIT' SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />} 1 , � / <br />`5 � ,L S �} ,�� � C'',�q, .� �f j T /-�✓ <br />PROJECT ADDRESS <br />; �G��; Gi�r ( ,=i� � <br />Owner <br />� c' c �' ��z <br />Mail Address <br />�,.,.. a.� C—G t'%�1� i•�.� <br />City <br />S':���- � <br />State/Zip Phone <br />S 7`��'��'/)L'�"�� -� �/G'/ C �fli� ,�� r � S'��:�/r �,�.� �f/�'/ <br />Tenant Mai� Address City State/Zip Phone <br />� / <br />(�i_ �r� � �5���,, ,.�' �,�1'�!; z�j �s �S -i�"> �yf:�c, .3c" _S�i��ix%:rriS� �'vrf %f�'S <br />Electrical Contractor Mail Address City State/Zip <br />�� <br />�� � 1%��5� �l }''i L �` yC c <br />State License Number Contract Price of Work <br />Sr/�%- J� C l f �i /��-.� rt <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Phone <br />�����. �- c i� h��� � y:lS � iS ���'� %� <br />Contact Person (Plan Review) <br />Description of Work to Be Done: rC'T ,�/G. ��= ��`- S�"� �� y -S .-5%.S i �. �� -�� 1 4. <br />L C= � �5 ��,� 1� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certify ihat l have read and examined this application and know fhe same fo be true and <br />correct. All provisions of laws and ordinances governing this fype of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel ihe provisions of any other state or local law regulating construction or the <br />performance of construction. That I am aufhorized by the owner of this property to perform the <br />work for which applicatron is made and 1 comply with the Stafe Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />'�l� �7 - > <br />� ^ 1/�J� � �,a - , � <br />_ �✓ l�1' '� / i` f j <br />Signatur Date <br />FEE <br />� <br />��� <br />PERMIT# <br />E���G� O�?� <br />