Laserfiche WebLink
� <br />�LECTRICAL P��MIT APPL�CATION <br />CITY OF �VERET�` PERMI'T SERV'�GES <br />3200 CEDAR STREET, EVERET7, WA 98201 <br />425-257-8310 - �AX �425-257,8857 — www-ever�ttwa.org <br />� � �v 51 s� ��- �� <br />PROJECT A�3DRESS <br />�c k� , 5� . � 33 <br />Owncr Mail Address Clry St9telZip Phnna <br />Tenank <br />Mail /�ddress <br />cty <br />5tatel,Zip <br />Phone <br />� l.�a-#� ►� �I � �1 S 13�1-.�' �� ,��.�-I�I� t.�� q �1 lo�B � oe � �I U. _ � o <br />Elcctrical ContraCtor Mail Address Clry State/Zip Ph❑ne <br />3'� vv��. Q �� <br />State License Number (required) <br />s�2 <br />Proposed EJse Of BuiEding <br />Square Footage (If residential new r,onstruction, remodel vr addition) <br />NumbEr of dc�ices (lf low voltage) <br />O� S 3 0 <br />City of Everett Business License Number (required) <br />�3� <br />Contract Pricc of Work <br />,�;, ,�� -�.. � a � . � �► 8 . � D� <br />Contaet PersonlContact Number/Emaif <br />I�es�ription of Work to Be Done: �� S� �' � O G�•Wti.��D � r�"��` �Y l�} 0.-�-� <br />Y�� <br />C1TY OF EVERETT LOCAL SAL�S TAX CODE IS 3105 <br />I hereby certify that ! have read and examined t��i, application and know fhe sarne to be true and <br />correct. All provisions of laws and ordrnences governing thrs type of work will be comple[ed <br />whether specified herein or no1. The granting of a permit does not presume to give authorr'ty to <br />v�olate or rance! t,he provisions of any other state or locg� !sw regurating construcfion or the <br />performance of construction, That r am aufhorized by ihe owncr oi thrs property to perform the <br />work for which application is made and ! Comply wrlh the State Contractors Law 98.27 RCW and <br />'.' � .7.00 WAC. <br />RevrSFr� QB�+'1r,n0i� <br />F�� <br />�� �.°° <br />PERMIT# <br />E � 50 3 � l �o <br />