Laserfiche WebLink
� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �� "�9 �"�� <br /> G�/ur�-d� l <br /> ��i3 ���5�,� �1�. �.� 2���- <br /> PROJECT ADDRESS <br /> � �-K�� �i��✓r� l�l,� �.� �✓C��e� pg�C� yz S 6/��13�/ <br /> Owner MailAddress Cily State2ip Phone <br /> 7na �/ <br /> Tenanl Mail Address Cily SlatelLp Phone <br /> _� IT <br /> EleclricalConUaCtor MailAddress Ciry SlatelLp Phone <br /> Slale License Number(required) City o(Everett Business License Number(required) <br /> Pwposed Use o(Duilding CoNracl Price of Work <br /> Square Footage Qf residential new consUuction, remodel or addilion) Contact Person/Conlact NumbedLmail <br /> Numher of devices(If low vollage) <br /> Descriplion of Work lo E3c Donc: ( ' �/���o— QaC�S'') iiot-q__Qi��r"��f��-�_—_—.... <br /> (/ <br /> U' ---� -- <br /> F[E � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �1� Q� — I <br /> l <br /> I hereby certily fhaf 1 have read and examined fhis applicafion a.nd know fhe same fo be hue and ___ <br /> co�rect. A/l provisions ol iaws and ordinances govenring fhrs type o/worN will be completed ------- <br /> whefher speci/ied hcrein ornol. The gr�nting ol a pennrf does nof presume to give�ulhonty fo pERMITJ! <br /> violafe or cancel fhr, provisions ol any olher s(afe or lucal law regulaling consfmclion or Ihe � � ��� _ o /_ r <br /> peAorrnance oI consfn�cfion. That 1 am aufho�ized by fhe owner ol lhis properly(o perionn Uie ((� � <br /> wo�k Ior which application is made and I cornply wdh thc Statc Confraclors La�v 18.27 RCW and !__.__ <br /> 29G 200 WAC. <br /> �.�.��-�-L- _ �����-- <br /> Sig i.Wre <br /> RI'V6EDo0'Ofi40ld _ _ <br />