Laserfiche WebLink
Pr 1� <br /> - --� --�------ <br /> ---- ---------- <br /> ——. <br /> i � - -._ .._� ---- -- <br /> � EL�CTRICAL PERIV�I'T �AF'PLICRTION <br /> I GITY OF �VERETT i'ERMIT SERVICES <br /> � 3200 CFUAR STREET, EVERETT, WA �J8201 I <br /> � 425-257-8810 - F:�X 425-257-8857—www.everettwa.org <br /> -,� "�--, I-i�n! (ti; �:'�,��, �.J .Pr,�� � ln�� I G� � <br /> PROJECTADDRESS <br /> � � „ �� arr.� � 3� 2� ;�_�� <br /> � � i;:",! L'.� �.t,„�',. " I�r�,sq. �t�� � � � �- <br /> Ownef � Mail Addres, � City StatelZip Phone <br /> Tenanf Mail Address City StalelZip Phone <br /> 1 '�i' � i r`; .r�i � �.ro� � '��-r1- „' %v_ �V'C✓("f'7 �A�� ��j``^� .I. <br /> i: • . �. <br /> Elec�rical�ConUactor MailAddress Cily StatelZip Phone <br /> i <br /> � w—� <br /> � �, � ;r� ' ., � r7 �?`t �``,r 1 �/'� <br /> State License Number Co itract Price of Work <br /> Proposed Use of Duilding Contact Person (Plan Review) <br /> � <br /> Square Foolage(If residential new construclion, remodel or addition) I <br /> Number of devices(If low voltage) <br /> , .�, . <br /> Descriplion o(Work to L'o Qone: � � �� l�'"�' � ~ �l �`�� � C u-'�-f�- �'� (� <br /> I � , <br /> FEE I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �C� GlU ` <br /> I ✓ I <br /> E I heroby certily that l have read and examined Ihis application and kno�v the same to be true and <br /> wrrect. All provisions o(la�vs and ordinances goveming this fype of work vdll be completed <br /> `�� �� whefherspeci/ied herein ornot. Tl�e granting o/a pemiit does not presumo to give authonty to PERMIT,'k <br /> u,'"? j violate orcancel the provisions olany others(a(e nrlocallan�regularing const�uction orfhe <br />=�'� ' porfr,rriunce ef consivc'ion. That I am r�uthonzed by fhe o�vner of this properiy fo pedorm the � � �� � -�� �� <br />:„_� ' >r7 is made and I compty w th the S(ate Cantracfors Law 18.27 RCW and <br /> - r <br />;.r�, � <br /> i�?`+• <br /> • Ir� _� r'. 2.01 �_ <br />��� l� � �— Date � <br /> 1 <br /> ...._:rn�zaia ---- __. � <br /> — ----- ........ .. --<�,. . <br /> � <br /> I <br /> '�h <br />