Laserfiche WebLink
-- - - - - I <br /> � - — -- - ------- - - RMIT APPLICATION <br /> ELECTRICAL PE <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> � � 3i�y <br /> Eiyol-lS� <br /> r�61� F������ol � �o ��- e�e�, t�J t�. 9��a1 <br /> PROJECT ADDRES <br /> �Q-►M P <br /> Owner Mail Address Ciry StatelZip Phone <br /> IJ Q 1� -�— lit�'�-���l Lt� �2�V I C� <br /> TenBnt Mail AOd ss Ci�y State/Zip Phone <br /> EleOcir�'Con�tor Mail Address Ciry State/Zip Phone <br /> � - <br /> � Stale License Number Contrad Price of Work . <br /> ` � <br /> I � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> i Square Footage(it residential new construction, remodel or addition) <br /> ! <br /> Number of devices(It low voltage) <br /> 1 ' . � , �[-� <br /> Description of Work to Be Done: _ �f.[LCd C.(k�� /I �-�-c P� '` `��( ���� �� ���� � ` <br /> FEE ^n <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �O�'v <br /> I hereby ceRily thaf I have read and examined this application and know the same fo be true and . <br /> correct. All provisions ol laNis and ordinances goveming Ihis type ol work will be completed <br /> whefher speci(red heiein or noL The gran(ing o/a permif does not presume to give authonty to PERMIT# <br /> violate or cancel the provisions o/any other stafe or local law�egulating consWction or the �^ �� � _ I�� <br /> peAormance ol construclion. That I am authonzed by the owner ol this propeRy fo perform fhe I <br /> work lor which appllcatron is made and I comply with the State Contracfors Law ?8.27 RCW and . <br /> 296200 WAC. <br /> �g���� ��31-��� <br /> � �� � <br /> Signature Date <br /> r+e✓i>tuv�an ._ ___. . _ _—_ .—I <br />