119 W INTERCITY AVE 2017-01-13 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 — www.everettwa.org � p � � .-z'�- za � � �� N�� PROJECT ADDRESS ( c� vc1 n� a��. �'� cL•�t� �,,-,F� li � � � �cr� � �� ,.� �ve � i� i�,'� `�Z-�' �1.� -- �iZ_3�' Owner Mail Address City State/Zip Phone Tenant __------� � � i�`'l� Mail Address City State/Zip Phone �� 3�.le-� i�; c= �- G t2� t� �``" �L S�.- ��,�-t�- tti''�- `j �L�}o' G�2 j�� 7� ��H��`l Electrical Contractor Mail Address City State/Zip Phone �� :� ��-� S6 �� 1 State License Number �,�,: �:��,� Proposed Use of Building 5��, Sti '�-- Square Footage (If residential new construction, remodel or addition) �`�� °�-- Contract Price of Work Contact Person (Plan Review) Number of devices (If low voltage) ' O�L'r� . �� ✓ Description of Work to Be Done: ,.� � i��h 2� � tU� r"5 .t 1 '� `�j��` t"`' M_ �j�j�"�(," l.-� (�vi S/��'%� �' �. v L� �% C-�;i-�..� 4�— �� L- i� i�-� �x,�T.�-'t�- 5;�;}� P�=��c�ti��;-T>>��"t, t� 1-w�� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I hereby certify that l have read and examined this application and know the same to be frue and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. � uate ftEVISED 3/20/13 � S��' z�i L� FEE --��'-� a� : . � - PERMIT# E r��—�� � d M a �.