Laserfiche WebLink
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.everettwa.gov <br /> 19 0 mgr I l i <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> T ) Creek ?K V-V,oti'& V WA etyzo; iy <br /> Tenant Mail Address City State/Zip Phone <br /> s/�I S�tlie 67 �o�l f�� S Ser-��� 16 mcl <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 66D3 �z � <br /> State License Number( equired) City of Everett Business License Number(required) <br /> owt kA� cA v-f'e, ,9 '57o <br /> Proposed Use of Building Contract Price of Work <br /> Yl 4 Gt'uffm Gomes <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Emit <br /> '�6 -- M 6 - nT <br /> ('1 eiwCAC' �e <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: (fl ����\ l 1�O V C\ (A <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1-7 <br /> I hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any othe r local law regulating construction or the <br /> performance of s ruc n. That I a authorized b the owner of this property to perform the t <br /> work for wh applicat n is made-and I comply with he State Contractors Law 18.27 RCW and <br /> 296.20 AC. " <br /> f <br /> ur Date <br /> REVISED 081062014 <br />