Laserfiche WebLink
�--____—_'_— --..I <br />—. —_ _ __.__. __'-- —. _—_�—_. — --__—_ _—_— <br />ELECTF'�ICAL PERIVIIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAF: STREET, EVERETT, WA 98201 <br />425-257-8810 - `4X 425-257-8857 - www everettwa.org <br />, <br />7l 7 c� �-� h.w-eJ <br />PROJcCT ADDRESS <br />O��mer <br />I <br />i?enanl <br />L1a�l Atltlress <br />I,tail Address <br />��. <br />CcMrBc�or � �4a�1 Address <br />I <br />I % L�%Ji�OE 9�LK� <br />State License Number <br />/� <br />PwposeA Use of Buildmg <br />Square Foolaye Q( residenlial new construction, remodel or addilion) <br />Numbei of devices (II low voltage) <br />City <br />Crty <br />Gty <br />a- --b ��y <br />C iuba-0`�`7 <br />State/Dp <br />StatelZ�p <br />!�-1f1 B w8 <br />State/Lp <br />Phone <br />Phone � <br />I <br />2� 3 �%-300� <br />Phone I, <br />�' �3 7C� <br />Contract Pnee of Work <br />/�%J��, ��-c.�/t.H.�tJ <br />Conlacl Person (Plan Review) <br />Description of Worn to Be Done� ���: ��,�<=�---�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I frereby certi(y thal 1 have �ead and examined (his app��cafion and know the same to Ae fn�e and <br />conect. �ll provisions olla�vs and ordinances govmning this type o/ �vork veill be compleled <br />�vhether spealied herein or not The aranhng of a permlf does r. �t presume fa give aufhonty fo <br />violate or cancel the p�ovisions ol any ofhersfale or local la�:� iagulaGng cons(n�cfion or 1he <br />pedomiance o( consfructien. Thal 1 arr� authonzed by fhe owner ol this property fo peAorm the <br />v�ork lor �rhich applicafion is made and 1 comply wdh (he Sfafe Confractors Law 18.27 RCW anU <br />296.200 WAC <br />FE�--- -- — <br />��•Od <br />PERMIT� <br />E � �p�— 0 Z7 <br />�-.�._...�i <br />