Laserfiche WebLink
-- --- -- -- — -- — � <br /> ELECTRICAL PERMIT APPL.IC,ATIC)�V <br /> CITY OF EVERETT PERM;T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org �_�—r3 <br /> ����..lul <br /> , ;�-� I l I-1L ,�'c� ���I <br /> . � <br /> �`� �'� �i l• c� !G\ �/ C. E� � � . � �, �.. U 7 <br /> PRUJECT ADDRESS <br /> 1 S-�'—Y-�? - %� , <br /> i ', ,.. ,��_ .`� � / '�" 41 c� vL��.� 1r c� ��J C' ��lE'J�c� � Ik � <br /> Gwnef Mail Address City StalelZip Phone <br /> � S / �.- I� c� �1 c,v a A J � �� 1 ��' 1� <br /> UL� � -5'0-� � 3 � <br /> Tenant MailAddress Cily Stale/Zip Phone <br /> � � �y— >�' G <br /> � `-� `� �'lc�tti-:� � � � i�-�� � � �t�, ��Nw� <br /> � Phone <br /> Elecirical Contraclor Cit State/ �p <br /> Mail Address Y .�_ �j'��d�' G�S �. _�F <br /> L-y� rn tnla�l �,� <br /> .� ��, cc .-r" �.�'k <br /> ,� 1 � I L � ►—.� � 'i��; _> lc��� <br /> State License Number Contract Price of Work <br /> � iit/ l�,ft�',�� _ <br /> Proposed Use of Building Conlact Person ;Plan Review) <br /> I <br /> Square Foo�age Qf resir:antial new construclion, remodel or addition) I <br /> �i Number of devices Qf low voltage) <br /> I /� I <br /> I Descriptian of Work lo Ue Done: > �� I� M� �- � I� TO ��� <br /> ----7 <br /> �'�a� rv h�Ac k �r 1� <br /> -- 1i� � i' i�9c;� — <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ( ��� GJ C i <br /> 1 hereUy ce�fily fh-.� I have read and examined this ap�lication and know the smne fo be frue and 4 � <br /> correct. All pro ,sions o/lasvs and ordinances goveming fhis type ol�vork will be comple(ed <br /> �vhelher speo�ied herein ornot The granting of a pemiif does not prasumc to give authonty to pEftMIT� <br /> violale orcancel the provisions o(any otherstate orlocallaw regulafing construction orthe r � �!'�— I� I <br /> perlormance o(conslrucGon. Tl:at 1 a�autliorized by fhe ownerol this property to perlorm the C (� <br /> evork/or which ppplication is made and I comply with the State Contractors Law 18.27 RCW and � I <br />- 296200 WAC. , , <br /> � <br /> -�,_ --�� � /� �� / 1 -� � <br /> � Date <br /> Signalure <br /> ,�F�,sEo��„ � _ -------- --� <br /> _ . <br />