Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />PROJECT ADDRESS <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org S `� <br />Mail Address <br />Tenant Mad Address <br />a✓c J t r(, �o 60 <br />Contractor Mail Address <br />t U el. K).jg.q -4 -7 L 2 <br />State License Number <br />Proposed Use of Building <br />Zr JUU <br />Square Footage (It residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />State/Zip <br />Phone <br />City State/Zip Phone <br />State/Zip Phone <br />_ ,5 �»D -- <br />C ntracr rice of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: Vl�{ C! 1 ( �n�rt �� ` a %JQ 1yllLe a it <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and know the s:me to be tnre and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whetherspecified herein or not. The gmnCng of a pemit does not presume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That/ am authorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WaC. <br />REVISED 1: Nma <br />FEE <br />PERMITit <br />E1305-08(v <br />N <br />