Laserfiche WebLink
-�--- ---� <br /> ELECTRICAL PEPMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everett�va.org <br /> (�' � � � �� �/ � �� <br /> PROJECT ADDRESS <br /> J,�o,� �� �P /„1 i's��e,� 3 �.��� ��o�/-v-e sE. �o�o,�,s,///�; . �as-33ti �r!33 <br /> Owncr Ma�lAddress C�ty Slate/Zip Phone <br /> /✓0/�P � <br /> Tenanl t�tadAdtlress Cdy Stale2ip Phone <br /> [lecir�ntractor tda�lAtldress C�ly State/Zip Phone � <br /> State License Number(reqwred) City ol Everett Busmess License Number(requiretl) <br /> Proposed Usc of Bullding Contract Price ol VVork i <br /> Square Footage QI res�den6al new construclion remodel or addtlion) Contact PersonlContact NmnbedEmad <br /> "Jumber of devices(II low voltage) I <br /> ')escriplion of Work to Be Donc: �P L.-/'f�_,L—� 04J� rS l Or� _ _ � <br /> I — <br /> F[E <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � ��� <br /> 1 hereby cerrily Ihat I have read and exarnined this applica(ion and know the same to be 6ue and <br /> corrncL All Provisions ol la�vs and ordinances go��emmg this type ol n�ark wrll be completed �---- � <br /> n�hether speaficd herein ornot. The granhng o/a perTnd does nof presimte to g�ve aulhonty!o PERhI� IT# <br /> vroL�fe or cancel(he proviswns oI any other state or local/aw�e9ulahng const�uction oi fhe � I � O r.J_O I Q <br /> �.. <br /> perfonnance olconshuction. That I am aufhorized 6y the ownr.roRhis p�operiy fo perform Ihe ( <br /> �vork lonvhich application is rnade and 1 compty�vith fhe State Con(ractors Law 18.27 RCWand <br /> 296200 WAC. <br /> Jn " � /`I <br /> //�� � <br /> Si9natu�� ° ate , - <br /> r.ev�sro ce ruoo ra <br />