Laserfiche WebLink
G3/23/2075 05 � 43 �64E5 P 001/002 <br /> �� <br /> i <br /> ELECTRICAL P�RMIT �4PpLICATION <br /> CITY OF �VERETT PERIIAIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> � 3 �-a_(,(_� 5� I <br /> _3,� � � � a.�Q��n E �� 3-��� <br /> PROJECT ADDRESS <br /> _ ���.r lsFtit�4�-1 <br /> Owner MBii AdAress Ciry State2�p Pnone <br /> Tenant Ma�i Atlaress Ciry State�Zip f�/U Phona <br /> I 0� <br /> i ��'�,u�E.� s�s PG Bo,� l.Z3�3 c�,li��fi'l�` � �'�� �� <br /> Electricai Conlracror MailAddress city StatarZip Phone <br /> �?'�vss i �L�.P _ o �, � 3 � 3 <br /> State License Number(required) City o(Ev2rett 8usina55 License Numter(required) <br /> i I <br /> j'�o�t eL �s� _ � � � <br /> Proposetl Use of Bwlding Contrec Pnce of WoAc <br /> � 17b11�(/ �GOfrv� �-Z.S'2�� �� <br /> Square Footage Qf tesidontial new construction, ramodel or addilion) Conlact PersoNContact Number/Emaii <br /> ! � <br /> Numbe�of devices (If low vollage) <br /> Descnpuon of Work to Be Done: J �r�I/� �'J U/Zit-�/ � '!.�! 4'_� ��f� <br /> � F����� GG) <br /> FEE ___ <br /> CRY OF EVERETT LOCAL SALES TA� CODE IS J705 J I <br /> I neroDy cortJly(Aat�havo repd und oxominod this applicahon and know the same to bo truo und ������01 <br /> covdcL All provlsions ol/zws and orUinances povoming f/ris typa ol work will ba compfotod <br /> whathor spoc�fred hcroin or nof. 7ho granfing ol a portnit doos not p�esuma to givo autho�iry to GERMIT� <br /> vio�ato or cancol!ho provisions ol any olhor sfafe or local/ow regu/ating construc(ion or tha � ��b��� <br /> podormance olconsvuction. Thet i am aurhonzeU by fha ownor ol�his p�oportylo poAorm tho <br /> �vork Por which opp c on is made an comply with fhe S1ato Contracfors Law 1827 RCW arq <br /> 296.200 WAC /G /� <br /> i <br /> ( 3 .� lS I <br /> Ignawre Da�e <br /> FEY;S:D:fi[M^o�a . <br />