Laserfiche WebLink
ELECTRICAL PERMIT APPLIC�TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, EVERETT, WA 98201 � —I�— �3 <br /> 425-257-8810 - FAX �125-257-8857 —www.everettwa.org G � � 09—o7�j <br /> ;a' J I V �C1 1 J l�-� �J� 2. �� <br /> PROJECT ADDRESS <br /> � � ��l< � 1�-12_ r� i� �,,,,� �. �,r ,� -�'i� � o <br /> Owner Mail Address Ciry Slate'Zip Phmie <br /> Tenant 61ai1 Address City Slate2ip Phone <br /> ^ - 14 a� ��= D 4as -� � <br /> .�c� :J ( r' �r c�(' 1 � �.3'�.a � ,r-� l� �..� /� Ci�)r�,v �'1�F77 <br /> Electrical Conlractor Mail Address C�ry StatelZip Phone <br /> �.- G O� J L, L— '� SUs� �— OJ <br /> State License Number Contract Price of Work <br /> Proposed Us of Euilding Contact Person (Plan Review) <br /> � �� � <br /> Syu re�lf residential new construction, remodel or addition) <br /> Number of devices Qf low vollage) <br /> Descriplion of Work lo Be Done: 1,,,� � r = O � � t-� �L� � � � �� 1� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �( D a� <br /> f hercby certi/y lhat 1 have read and examined Ihis applicafion and know(he some to be In�c and I J <br /> correct. 1111 provisions ollaws and ordinanccs goveminglhis lype ol wodc will be completed <br /> whefher speci�ed hemin ornoL The granfing ol a pemrif does nol presume fo give authonty to pERP7if� <br /> violale or cancel fhe provisions o/any ofher sfale or local law regidafing constnrction or Ihe <br /> perfoRnance olconslrucfion. Thaf 1 am aulhorized by the ownerolthis pmpeRy fo perlomi the E) 30� — �7 � <br /> work lor which applicafion is made and I comply wifh Ihe Sfafe Contraclors La�v 7827 RCW and _ <br /> 296.200 WA <br /> � r <br /> nalur Dalc <br /> pF.Vi5E0 V.�.I 1 <br />