Laserfiche WebLink
u <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />J20J UtUAK 51 Ktt I, tVLKt 1 1, VVA V61VI <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />PROJECT ADDRESS <br />awoi (11,h Aire S U( Qo 00 ROY at3rl� <br />Owner Mail Address Gly Statelz,p Phone <br />ry f 0( LftNl WA 11s ail <br />Tenant Man Address City Stete4Ap Phone <br />EMERALD AIRE, INC. 5108 D STREET NW AUBURN WA 98001 253-872.5565 <br />Electrical Contractor Mail Address City SielerLp Phone <br />CUNTRACTERS LICENSE ELECTR4el LICENSE <br />EMERAA10558L EMERAA1991KG 26495 <br />State License Number (required) City of Everett Business License Number (requred) <br />1) f A * 1100. ou <br />Proposed Use of Building Contract Price of Work <br />0/A Awal w�l <br />Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br />Number of devices (If low voltage) .nG� <br />Description of Work to Be Done' �1 L�`[1 Y �i l O� DiV i li <br />Ca) C031 ^lam axNA nzgE Q C k� A�\YNQA <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I have rend and examined this application and know the some to be true and <br />correct. All provisions of laws and ordinances governing this ryps of work wi0 be completed <br />whether spotiried herein or not. The granting of a permit doe:; not presume to give authority to rE( <br />T# <br />violate or cancel the provisions of any other state or local law regulating construction or the p0performance of construction. That I am authorized by the owner of this roperty to perform the(,IF <br />work for which application Is made and I comply with the Stele Contractors Lew 18.2; RCW end <br />296.200 WAC. <br />IpnRlu.c Dole <br />AMANDA CRAMER amandec(LDemeraidave com <br />permits@omeraldnite.com <br />RE VISE0 0a01i <br />