Laserfiche WebLink
JUL/17/2013/WED 04: 50 PM FPI Seattle FAX No. 4252909600 P. 001/001 <br /> ELECTRICAL AP-Cret PDF.aspx *://www.everettwa.org/Get—PDF.aspx?pdffD=35 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwe.org <br /> PROJECT ADDRESS <br /> owner Mail Address Clt State/Zip Phone <br /> '�'�v�ee r , �� Z�Z� ��°$ itc. ��te�rc. -�/ ;FcZ„tj1 <br /> Teridrit Mail address City statefzip Phone <br /> Electrical Coiltrattor Mail Address City State/Zip Phone <br /> �z5- Zg o-CN <br /> >-, Z - - <br /> Vate License Number Contract Price of Wo&. <br /> Proposed Use of Building Contact Pelson <br /> (Plan Review) <br /> square Footage(If residential naw constmdion,r01110tdel or addition) <br /> Lr—S <br /> Number of devices(If lowvtiltage) <br /> Description of Work to Be Done: 1�1 meq_ d <br /> Y� <br /> FEE <br /> CITY OF EVERETr LOCAL SALES TAX CODS IS 3105 I <br /> 1 hereby certify that I have read and examined thla application and know the same to be true and <br /> correct. All pramfdrtt;of laws and ordinances governing thij type of work wiff be cnmpl6t&d <br /> whether specI fed heteln or not 71he granting of a permit does not prt3sume to give sutharlty to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> porf6rmance of conshuctfon_ That)am authorized by the ownsrofthis property to perform the 0 3 <br /> work for which application is made and f comply with the State Contractors Low 18.27 RCW and <br /> 296,200 WAC. <br /> � �- I <br /> REMED a-"i3 <br /> 1 of 1 4/8/20I3 9:24 AM <br />