Laserfiche WebLink
i __ _______ _ ____ ____ ______ _ __ _ _ _ _ � <br /> � ELECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT' PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, N/A 98201 � <br /> I 425-257-8810 - FAX 425-257-8857 —vnvw evereltv�a.org I <br /> 6 _o ol � �f <br /> � C � �c� 6-o�D I <br /> �� 2�2 3 („�.r-���� (�vz �_�u�kl �.� � ��3zo i <br /> PROJECl'ADDRESS <br /> I (l <br /> I ��/�-^ �. ���` Z`�127 �v7 ^'����./d /�J� �✓Uc�T1 �.J� �l`S�� GZS•-'Si� - S� � <br /> I Ov�n r t�tadAddress Crty Stalc/Lp Fhone �, <br /> I <br /> i ��� `7��� 2�ti3 �,���.,a Ati�� �,��cff L,I� "�k�v� UZf-3��1 -srs!�C <br /> i Tenan� tda�lAddress G;y Stae2ip Phcne i <br /> I �_ �_ ___ I� <br /> EledricalConiractor h:1adACdress Gf,y Slate/Lp Phone i <br /> � <br /> I <br /> � _ _ --_-- i <br /> State License Number Contract Price of Work <br /> � - I <br /> (�Q�GVIQ.u` �or6 c � 5��� � <br /> � Proposed�n� ContactPerson (Plan Review) I <br /> �I I <br /> Square Foolage p(residential ne�v conslructian. remodel ar addition) i <br /> i <br /> I Number of devices (II law vollage) i <br /> Description o(Work to �e Done: ___1,�Z�`����'"��" '�` F C � • �"hl Uv� 1�%"l� i <br /> --- I <br /> FEE -- -- I <br /> t;ITY OF EVERETT LOCAL SALES TAx CODE IS 3105 �S �`�' <br /> � <br /> 1 he�eby certrP�fhat I have read and e.ramined lhis application and Fnow the same fo be tiue and __ <br /> co�iect. All piovisions o/la�vs and o�dinarces yoveming this fype ol�voik�vill be complefed — <br /> �vhefher speci�eJ herein ornoL The yranfing o/a pennit daes naf presume fo give aufhonfy fo pERMIT� <br /> violate or cancel fhe provisions o/any ofhers/a(e orlccolla�v regulaling construc(ion or fhe r � r ' �� fO � (l I <br /> peAormance o/conslnictien. Thaf I am aufhonzed by the owner o/Ihis propeAy fo peAomi fhe C ��� U <br /> �r�ork!or which application is made and 1 comply�vilh Ihe Slate Contracfcrs La�v 1 B.27 RCW end � . I <br /> 296.200 WAC. <br /> � —��3���� — �— —o:,i�����' - <br />