Laserfiche WebLink
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 /> I10� ��WI� w�l� �./ere��(l�A <br /> PROJECT ADDRESS <br /> SkOoD►� �JCFer�i.�s �tlo �o�by S�c � E�� �� C1.80� aaa dS'� y3� <br /> Owner MailAddress City State/Zip Phone <br /> �n�- �l000 NE �3� (�I�e S•�k � �e-Ilev,�,e. 1.�� <br /> Tenanl Mai�Address City StatelZip Phone <br /> ��k��a.`7� �� l l S�r�Ce� S� . n�fh �1� L'.'lit/I ,'P0� <br /> Electrical CoMrec or Mail Address Cdy Slate/Zip Phone <br /> l���ECC�S90c{(� � 11� <br /> State License Number Contract Price oi Work <br /> C�l SL�-�- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) <br /> Number of devices(If Iow voltage) <br /> �—� �!S("1 �f"1/lC� <br /> Description of Work to Be Done: �"'�'� � ��rNh�P l Q��� _--� <br /> � FEE <br /> I CITY OF EVERETT LOCAL SALES TAX COUE IS 3105 �� �V <br /> II hereby cedify that 1 have read and examined this application and know fhe same to be true and <br /> conecf. All pmvisions o/laws and ordinances goveming lhis type of�vork will be completed <br /> whefher specilied herein ornoL The granting o/a pemiit does not presume to give authonty to pERMIT# <br /> violate or cancel the provisions o/any other sfafe or local la�v regulating construction or the � ���� _ ' �/'� <br /> peAo�nance ol construcfion. Thaf 1 am authonzed by the owner of this property to perlorm fhe l/ <br /> work/er which application is made and 1 compfy wifh fhe Stata Contractors Law 18.27 RCW and <br /> 296.200 C. <br /> Si3rature ale <br /> aewseo vtai i <br />