Laserfiche WebLink
- - -�-- ----- 1 <br /> ELECTRICAL. PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v�nvw.everettwa.org ' <br /> � �I t}'1 57 <br /> �7Z�� r� <br /> � PROJECT ADDRESS <br /> � <br /> IOvmer Mail Address Ci1y StatelZip Phone i <br /> i <br /> Tenanl tdailAddress City Stale/Z�p lH'S�ene <br /> � <br /> ," '11 z71 �ts-7375 <br /> p,� S'f� G�c�4,.��14�— �`625 3'i /}�� �C S��F:. L•3� ;'�cn�y,� c� w !}� q�s <br /> Electrical Conlraclor PAaii Address Crty Stale�Lp Phone <br /> S� TCES � �SS1 �3 � oS�3Z7 <br /> iStale L�cense Number(reqwred) Cdy of Everetl Business License Number (reqwred) <br /> I <br /> I Proposed Use of 6wlding Contract Price of`.hbrY. <br /> � Square Foolage p(residenliai new conslruction, remodel or addilion) Contac�PersonlConlact NumbedEmail <br /> � <br /> Number of devices (II low volfage) <br /> DescriplionofWorkloBeDone: ���V'C�" G�a�y�� ��5r�1� �Zs��r �u�cr� LtJJ 3 S"����`— <br /> _—� �-- <br /> u�'1S �^e. )4�e.._ 3 G�e�fl`(� r„>,�� �teaf�''S i�s��� Ci �! i�� li' {c5�1 a.J <br /> 6u��-�o� — <br /> FEE O <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� �� <br /> I hereby ce�bfy thaf I have read and exarnined fhis applicafion and know fhe same fo be Irue and __—__—_ <br /> correcL All provisions ollaws and ordinances goveming fhis type ol wodc�vill be complefed �---------- <br /> r:hether specilied herein or noL The granfing ol a pennil does not p�esume fo give au(honty fo PERh1IT8 <br /> violate or cancel lfie provisions ol any othersfafe orlacal law regula�ing construcfion or fhe � <br /> peAormance oI const�uction. That 1 am authonzed by the o�vner of Ihis property to perfonn fhe [ I �(' � � I 3� <br /> �vork lor�vAich applicalion is made and 1 comply�vitb the Sfafe Con6aciors La�v 78.27 RCW and <br /> 296 200 WAC. <br /> > �l��/s <br /> ynature Oaie <br /> REl'�SEDOPJCQ01a ____ __ <br />