Laserfiche WebLink
425-252-1666 c.m.heating • 16:41:26 12-08-2015 3/3 <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—1rp.,rri.everettvra.org <br /> flb Q�- f 1—v <br /> IECT ADDRESS U <br /> h �j <br /> 3 r CL,� LOH q&--V 291&3-I (–9011 <br /> P.lail AdJress U Cit/ Sia'aZin Pens <br /> Mail Address City Statslzip Phone <br /> t <br /> gal Contractor Pfail Address City State/t.ip Phons <br /> (cense Plumber(required) City of Everett Business License Plumber(required) <br /> aso <br /> ad Use of Building C'nAtractPice a"Vor�j.A <br /> Footage(If residential ne,v construction,remodel or addition) Contact Peron/Contact Plumber/Email <br /> of devices(if low voltage) / ,I j <br /> tion of Work to Be Done: / Y[ z I I C/I cu . <br /> u-1 <br /> FEE <br /> F EVERETT LOCAL SALES TAX CODE IS 3505 G1�`OQ <br /> certify that I have read and examined this application and know the same to be true and i 1 <br /> All provisions oflaws and ordinances governing this type of work will be completed <br /> -specified herein ornot. The granting of a permit does not presume to give authority to [FN # <br /> ircancel the provisions ofany otherstate orlocallaw regulating construction orthe <br /> anceofconstruction. That I am authorized by the owner of this property to perform the J 12 <br /> which application Is made and I comply with the State Contra clars Law 18.27 RCW and <br /> WAC. <br /> 115 <br /> Signature D to <br /> acaao�a <br />