Laserfiche WebLink
ELECTRICAL PERII�IT �4PPL�CATIOIV <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 />�� �3r�� !� � �' ���.��"�-Zr'� �� c L,�"�� ��j � <br />PROJECT ADDRESS <br />Owner <br />�� (U <br />Tenant <br />lectrical Contractor <br />Mail Address <br />'�.7 �(� <br />Mail Address <br />Mail Address <br />L�a,�����C'��C1� <br />`�Sta(e License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />City <br />City <br />State/Zip <br />State/Zip <br />� �7�`� <br />Contract Price of Work <br />Phone <br />Phone <br />Phone <br />��-t'�'L�cl i�7� �l � ����' <br />1 <br />Contact Pe son (Plan Review) <br />Description of Work to Be Done: T,n�� \� C��(1c"�-'�-� � u iAd11 C 1�ci.���l ��11� vl y�_� <br />i�r�t%'�<'T`�`�-�CX �d �� �L� ��ll�S' ��� 1 a r L--� ��� <br />� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify fhaf ! have read and examined this application and know fhe same to be true and <br />correct. All provisions of /aws and ordinances governing this type of work will be completed <br />whether specified he�ein or not. The granting of a permit does not presume to give authorify fo <br />violate or cancel the provisions of any other state orlocal law regulating construcfion or the <br />performance of construction. Thaf I am aufhorized by the owner of this property to perform the <br />work for which application is made and I comply with tl�e State Confracfors Law 98.27 RCW and <br />296.200 WAC. <br />� �2 �-���---�� � 1 � �- a � � `-f <br />�����- .� <br />FEE <br />� � - ', <br />[.�; �; _ _ <br />� <br />PERMIT# <br />E �"� � <br />�; , <br />; �_� � t:� � <br />