Laserfiche WebLink
� <br />� <br />ELECTRICAL PER.MIT /��t'PLI�ATIO�1 <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa gov <br />y��o � a� � =�i,�r� �i�Zu� <br />PROJECT ADDRESS <br />Owner <br />I1 <br />1 enant <br />Z �UI <br />Man Atldress <br />Mail Address <br />Gry <br />.1 <br />City <br />� �ra�r� <br />� �Sv�--� <br />StatC�Zip Phone <br />� <br />Y� <br />Statc2ip Phonc <br />fCLPtt�`���n,-G�- �v �153 i 31�"� b� �r,� wAIG�ti�'b �5-3��� 3� <br />EIP.GtfiCalConiraC�of Ma��Address Crty Sta�e2ip Phone <br />�1��' NPc D� �l 1�2� `—l.� <br />State License Number (requircd) <br />� ( �� � �i <br />Proposed Use of �uildin,ry <br />Square Footage Qf residenhal new construction, remodel or adartion) <br />Number o( devices Qf low voltage) <br />� 3 '� <br />City of [verett Business License Numbcr (reqwrtd) <br />3/>�•� <br />L> <br />CoNracl Pnce of Work <br />��3�'� - 2�er - <br />Contact PersenlContact NumbedEmail <br />►.b�'R1/�� @hbLGu S�M � C�^ <br />Descnption of Work to 6e Done-. 1v'7N`� � �� li��(wVI,J I /\ �JI�"� �� i VV" 1�^v_ <br />�VIT�4�• <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hr,rr.by ccr(dy Ihof 1 havr. read ond cx,�minr.d Ihis epplir.atinn and know the samc (o be fnm ond <br />corrccf �II pmvis�ons o/law; and o�dmancr,s y��vcrning (his type ol work wiU bc c;omplr.fr.d <br />�vhclher speci(ed hercin or nof. Ihe yrr�nfmg oI a pennil does nof presumc to give aulhonty fo <br />violalr. orcancel (hr pmvisfons o(any o(hr.r sla(e or Inr, �l law mgulofing con;fn�clion ar (he <br />pcilnnnanr,e ol consfn�r,6on. T hat 1 am aulho�zed by fhe ownr.r ol fhis p�oporiy (o perlonn Ihe <br />v:ork lo� which apphr.n6un is madr, and I r.ornply wilh (hr. Slalc Conl�ar.(ors L�^w iH.27 RCW and <br />296 Z00 WAC. <br />� ` <br />i9�aiure --- -� -- �.��� <br />�-ro: � r . � . .�, � � <br />IEE <br />�v dQ <br />r•�rtr��Trr <br />E ��pg-o�Sv <br />