5025 SOUND AVE 2016-10-07 - 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 `j �,�� t�N� �Q •� = PROJECT ADDRESS �j p l�' �i�, f ��1 I.� F� ��-� ,f�'bC/NC � �f � (.. �..1/F� G°,1y4 . �?�S ?..�> ��L� �Z(h�"`7/( 7`1� Owner Mail Address City State/Zip Phone Tenant Mail Address City State/Zip Phone �r f, A�.� F:: n� �� fG•�✓�.(�� : �; C�,� %� vi� �^ � t!1� ;-� ��r'�y' F�r'•l.f �1/A; `a e�r` l y�LS� .o L/��,� c��, t� Electrical Contractor Mail Address City State/Zip Phone J L� � �:'� f�„�j�`�sl�� State License Number (required) � �� Proposed Use of Building ��/ � � a L-- City of Everett Business License Number (required) �o ' L:j . Contract Price of Work .l= r.J ��- �L� `'��f _-'i��,, o Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email ,., �1/t✓!`JC r,��,E.F-It/f �-G.i� �1..G!'�S�-J Number of devices (If low voltage) Description of Work to Be Done: �� ''� � N��J C''/pi.-�L�� '`� 1�` �l��``��r'F'� �1!F�'T�U!!-�-� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of /aws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which app ' tion is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. _ �� '�_1.3 -I �f uate REVISED 08/O6/2014 FEE �D�O� PERMIT# E � ��' a�