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.org <br />1 � (� � � ��c� c�;� ti� - <br />PROJECT ADDRESS <br />S`i-�v� C�-e��s i;3 �U 3 c-r�� �:�;�Y C-v��`�-� �.� ���� i �-� z._5' - zra - 38 <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />P����� ����-� ,� � Z � -�� ���� F.����� ; �� � ���� �►zs -��a - � <br />Electrical Contractor Mail Address City State/Zip Phone <br />�l� �SYEL ��?� �� <br />State License Number <br />S_ �=��- <br />Proposed Use of Building <br />I �z� <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />� - �c) �d <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: -���`�`� ,� t� � `�6� � � � .S��cJ �-� , L� °-�� k � �C�� �.� <br />c�.,�C� �De' 4�.ti c-, °�i �:n5'%\� .� fn�4� S/-e G�'rF'-C����.5 -�-�LS /c� �� <br />��`�c� 1�i c=� L:;c„� V, C� �71 �� <br />FEE <br />,l GJ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �V <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions oflaws and ordinances goveming this type of work will be completed <br />whefher 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. Thaf I am authorized by fhe owner of this property to perform the E I7 3(� —;�� <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and `� l ' <br />296.200 WAC. <br />`Z ,--,-� �-.{�-e.�.-s- �� - -3 � _ i 3 <br />� Signature Date <br />REVISED 3/20/13 <br />�� <br />