Laserfiche WebLink
• S <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—www.everettwa.org <br /> �2 414/ <br /> PROJECT ADDRESS <br /> Dolor /%AM(n <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Cjvuvt L ( ( hoG S70._3Fe-C/ dui tilii-TZ03 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> 66Z- 5-70 (.-tqct <br /> 3Lr3q <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> / 0Alifah z/ W(53-3636Z6 <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: A! e44, ZOO Ay. 5- 1((//16& <br /> • <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 i 7500 <br /> 1 hereby certify that 1 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 other state or local law regulating construction or the <br /> performance of construction. Th- I> authorized by the owner of this property to perform the E 5 03_ D <br /> work for which application is a I; . . 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 3/Sign- : D e <br />