Laserfiche WebLink
ELECTRIC�L PERMIT AI�PLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />32C0 CEDAR STREET, EVEREI7, WA 98201 <br />425-257-8810 - FAX 425-257-6857 — www.evereth�+a.org <br />�`dl o��it���� ti c,u�# �- �'�ee (-1 ��t A- 9 a'Z° 3 <br />PROJECT ADDRESS <br />%3 A-f ti.0 � � <br />Pdaii Adu�ess <br />C�ty <br />��rD � Z�"O �I�-� <br />Stale2ip <br />Phone <br />C-[-i�/�% ��• S�'7c� '� G� wi �/�- =�E'�'�f� (Nf�— 7<i'�-�� <br />Tenani ,Na��lACtlress Clty Slate�Zip Phone <br />T1� �a� �ld� ��-��'� � �h` �1� fl'dr�r, % n W f1' %C'6d 2 <br />�lectfiC81 Con�raCtOr htail Addiess Cay Stafe2�p Phone <br />' �v�n/S�. �'i23D� <br />' State License Number <br />Proposed Use of Building <br />� Square Footage Qf residenlial new construction, remodel or addilion) <br />�Jumber of devices Qf low voltage) <br />� 7.a-i� � <br />Conirec! Price ol Work <br />Cunlact Perscm (Pian Review) <br />Descnplion o( Work to Be Done: � G1 �,-�+-�Il� �(J L(`� ![v ,f �1��j3C!r�n-� �; <br />CITY OF EVERE'fT LOCAL SALES TAX CODE IS 3105 <br />I he�eby cerlily fnat I have read and examined this applicatron �nd know the same fo be irue and <br />co�ect. All prowsions olla�vs and ordinances goveming Ihis type oI work will be comp/efed <br />whc(her specified herein ornoC The gianfing ol a pem�it docs not presume to give au(ho�ity fo <br />violafe or cancel fhe provisions ol any olher slate o�locnl !aw iegulafinj consWclron or fhe <br />perlomiance o/ constn�ction. That I am authonzed by fhe a�vner ol fhis property fo pedonn (he <br />�vork Ior which appGca(ion is made and 1 compty tvi(h !he S(ate Conhac(ors Law 78.27 RCW and <br />296 200 WAC. <br />uP: icE� 1:'G�t9 <br />FEE <br />5 `-'� <br />PERNITri <br />Ei3oS-12( <br />