Laserfiche WebLink
06/07/2013 11:31 4254654320 HILL ELECTRIC PAGE 02/02 <br />• • <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE11, WA 98201 <br />425-257-8810 - FAX 425.257 8857 - www.everettwa.org <br />6-1jotS-Du3 <br />�CvOO�lnl Ca5 no i2d <br />PROJECT ADDUSS <br />Owner <br />Man Address �- - City -- - —_ Siate21p Phone <br />i1, E�ere+�- WA 9'R o ti <br />�y1��i�—(P�hn ccl Se�u+c�� 3121 109 St SW <br />Tenant Moil Address City State/Zip Phena <br />C c`�n,(CC(jU,-\ �0 It ( IOgs U)OCJOAJ,1��, WA W�'Z. <br />Electrical Contractor - Mall Address City state/Zip Phoge <br />1 ill LECoLiSrq �� �oc.°° <br />Slate License Number ontract Price of Work <br />Proposed Use of Building Contact Person (Plan Review) <br />Square Footage (II residential naw construction, remodel or is 1111 on) <br />Number of devices (If low voltage) <br />Description of work to Be Done: Pi of • g U •1P r 0� w'e"U5 C ; r <br />PTA c- (.1 t7, <br />FEE <br />CITY OF EVERE.TT LOCAL SALES TAX CODE IS 3105 I I � S O <br />1 hereby certify that I have mad and esamined this application and know the same. to he true and -_ <br />correct. All provisions of laws and ordinances governing this type of work will be completed -- <br />whether specified heroin or not The granting of a permit does not presume to give authority to FERMrr# <br />violate or cancel the provisions of any other state or local low regulating construction or the I O� I <br />performance of construction. That I am authorized by the owner of this property Io perform the <br />work for which application is made and 1 comply with the State Contractors Low IB.27 RGW and _ <br />296.200 WAC <br />ignetu Vale <br />rrsm» � �asu <br />