Laserfiche WebLink
Jun.!? 2015 9:3%41 @0 4`68 F 2 <br />r1 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />6 <br />G-15 o6-I12 <br />Imok UU. Ihherc�n_ � <br />PR�O•JECT P..DDRESS <br />IW S� A (J)bw4d ` LMU) I {3(lry�l 01L.6 Axti—t i rA %-?Iii x 2ylCo <br />Owner Mail Address City State/Zip Phone <br />V U <br />Tenant Mail Address city Stale/Zip Phone <br />cl�t�S IL(M Xy— F� t a1r4,V4 ,Zz ( jd o-77 L( <br />Electrical Contractor Mail Address City State/Zip Phone <br />SN E A-T6 S Rol It) E f4— 1 6 I kS—" <br />State License Number (required) City of Everett Business License Number (required) <br />Proposed Use of Building Contract Price of Work <br />�)rutm @ �S�'V3 •CnVV\1 <br />Square Footage (If residential new construction, remodel or addition) Contact Person/Co act Number/Email <br />Number of devices (If low voltage) O 1 `y,,, <br />Description of Work to Be Done, {�9.. 1Cl C.Q.. 1� —0 D PO eA p 1 CL� (OQfv�QQ/� <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 4150 OD <br />1 hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances govarn ng this type of work will be completed <br />whether specified herein or not The granting of a pormit does not presume to give nuthonty to PERMIT# <br />violate or cancel the provisions of any otter state or local law rogulabng construction or the r �l <br />performanco ofconstruch'on. That ram authorized by the owner of this property to perform the E 15b b— I I !— <br />work for which application is made and/ comply with the State Contractors Law 18. 17 RCW and <br />296.200 WAC. <br />Sg to Date <br />nEV6EDW 2ora <br />t.-i I <br />is,qt <br />