Laserfiche WebLink
Jan, 13. 2 10 16 10 , 10AM Sound Security Inc No, 0216_P. 1/1__ I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV,��ETT, WA 98201 <br /> 425-257-8810 FAX 1425-2571-d857,�,www.everettwEi.org <br /> PROJECT ADDRESS <br /> Owner Mail Address City �Slafa/Zip Phono <br /> 33 <br /> Tenant Mail Address City State/Zip Phone <br /> n► ��I - �rPr > ( ( ZSR- 3��� <br /> Electrical Contractor Mall Address City State/lip Photic <br /> �N <br /> State LicerEse (dumber(required) City af�Fv rott Business License Number State <br /> Pruposed Usc of Building Contract Price of W <br /> or <br /> k <br /> _ YAC c- (4 <br /> Sduare Footage (Lf residentiaf new constructi�n, remo`el or addition) Contact F'cr.c7r1/Contact NuroberlCmall <br /> Number of evil,;i S (Itlaw voltage) <br /> of I to Be Done <br /> Description Work <br /> CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certiry that I have read and examined this application and know the same to be true and <br /> correct, All provisions of laws and ordinances govoming this We of work will be completed <br /> wholher specified herein or riot. 7'he granting of a porrriil does not presume to givo authority to PERM # <br /> violato or,cancel the provisions of any other state orlocal law r'eguhtinp construction or the <br /> prrrormance of uuristnrciiun. 7'ham t I aauthorized by the Owner&this property to perforin the <br /> work rot-which application is mado,end I comply with the Statc Contactors Law 98,27 RCW and _- <br /> 296,7.0 WAC. <br /> ?14 iatllre Date <br /> 17EVr.SCD OB47r/7U f 4 <br />