Laserfiche WebLink
• <br />• <br />ELECTRICAL PER�►'lIT i4PPLICATIOIV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, F_`✓�RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />i �o� �-I� ����� <br />, <br />� � _, <br />_, <br />PROJECTADDRESS �� �� �l� �(,�% <br />--�-� �,. �.�.�., h � � ( `� s z. ( � <br />Owner Mail Address <br />Tenant <br />�lectrical Contractor <br />Mail Address <br />Mail Address <br />State License Number <br />� `��� <br />Propose se of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />-�v-c�efii, v�� � �� �2���° <br />��� � �� ���,��� ���; ��s ��� ,�� <br />City `-� State/Zip Phone <br />�jZ� ��ZS�i1 � <br />C ity <br />City <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Description of Work to Be Done: C� r�� P �/ � ��- �� �� ��, �'v�L � 1� �\% N �J r�f �I <br />�/ I/� � 1 v. �'"1 r, r r <br />��� � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be frue and <br />correct. All provisions of laws and ordinances governing this type of w.�rk wi(! be completed <br />whether specified herein or not. The granting of a permit does not pre,sume to give authority to <br />violate or cancel the provisions of any other state or local law regulating consfruction or the <br />performance of con�truction. That ! am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Lr�w 98.27 RCW and <br />296.200 WA C. ,.'1 , � -� <br />� ,;-, -; <br />� i'�� , <br />/ � /� �.'�� /� 7 <br />\/ ^ "/ <br />� �-" _ 3 - /�.� -� / <br />nature <br />REVISED 3/20/13 <br />FEE <br />�7��'—� <br />` <br />PERMIT# <br />���{ �� - a� r <br />