Laserfiche WebLink
� _4 —� <br /> E�ECTRICAL PER(1�IT APF'LIC/�T�ON <br /> CITY OF EVERETT PERh11T SEF'.VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAY.425-257-8857 - www.everettwa.org <br /> �'�`'��-1 T <br /> � ju�o- aa3 <br /> 1 �17 �-o,,,, {�-� i'�v� F� ere�1�(" w R 9 � aol <br /> , <br /> PROJECT ADDRESS <br /> Fr;ka ��x -1 es" !g I"] LoMb�l A.,e �vere�� u-� l9�aol yas-aYl- 309� <br /> Owner ldailAddress City Stale�Zip Phone <br /> Tenanl � \ M1�iail Address City StatelZip Phone <br /> (A�an ..�er� <br /> �alc Ere�;� II�o 7-�e1-e�e Dr. �vere�{' wfl /9gaa3 ya5 -5�3-s9v4 <br /> Eleclrical CoMrector Mail Address City Sfate2ip Phone <br /> �1�-C. �- L�l.. 8�5nn/v� os.� Ya8 <br /> State License Number (required) City of Everett Business License Number(required) <br /> �-�vMe.� <br /> Proposed Use o(Building Conlract Price of Work <br /> �os�� L„ �- /Kas -s83- S9'l�f <br /> Square Footage Qf residenlial nev✓conslruclion, remodel or addi�ion) Contacl Personl ontact NumbedEmail <br /> c�I � ,Aeere��c-Er< <@CuMc4S�.�e <br /> Number of devices(If Iovi vollage) <br /> Description of Work to Be Done: i/�S-10.� 1 �� L,p ��1 0�� n rn P M�� c i n w 0. V�. <br /> � lPCui "T <br /> FFE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �D� <br /> I he�eby cer(i(y thal I have read and examined thrs applicafion and know the same to be fiue and <br /> cnrrecf. All provisions o/laws and ordinances goveming fhis type ol o-+o�1c will be comple(ed <br /> whefher specr�ed herern ornot. The granting o/a permif does not presume to give authonty to PERMITN <br /> violafe or cancel the provisions olany olher state or local la�v regulating consWction or(he ``` ��/ <br /> peAormance ol consWction. That I am authonzed by the owner o�this property lo peAonn fiie E � y �D _a�3 <br /> wo�k lor which applica(ron is made and I comply�vitli t�ie Stafe Con�ractors La�v 18.27 RCW a�id I � <br /> 296.200 WAC. <br /> � �U� � ��� <br /> Si nature Date <br /> REVISE00995201a <br />