Laserfiche WebLink
� <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.everet�,va.org J�-� "�S <br /> �iSO( ��97 <br /> I PS�5 ���Zr�..l r�/�� <br /> PROJECT ADDRESS <br /> ��LL �S,i�Q�.-1 I�aS C-,�,J� � �� WA `�4�ai �1 ��-31�-340a <br /> Owner Meil Address City SteteZp Phono <br /> S'Yt�n� 91 S GwT�-1�-- - <br /> TOnaM Mnil Address C�ty Slaie2ip Phone <br /> ��-�t� � M�,-� G�531 31� �5�=�►2�err 'ti/�a ����5 �4a5�3��-a�c� <br /> ElectriCal Contrador Meil Address Gty Stale2�p F hone <br /> .A� P i-tA1�FU t p a-IUP ��y <br /> State License Number(requued) • City of Everett Business License Numher(required) <br /> 4 � <br /> �"L�j I {7Fi?,-�� - - <br /> Proposed Use ot Building Cont cl Price ot Work <br /> ►.�__t���-�'�--- <br /> Square Footage(II residentiat new construction, remodel or addAion) Contact PersonlContact Number/Email <br /> Number o1 devices(II low vollago) <br /> Description oi Work to Be Done� <br /> 1 �f�:�fim� h-� �--�r a ,��,�,��S , � \ �,�r�S <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �JS �7 <br /> 1 hmeby certity thaf 1 have read and examined fhis application and know fhe samo fo bu hua and � <br /> correcf. All provisions ollaws and ordinancos govornmg this typa o!work will be completod <br /> whothor specilind horom or not Tho g�anfing o!a pormif does nof p�esume fo givo aufho�iry to PERMITI� <br /> violalo or cancel Iho provisions o!any o(hor sfato or local law�egulating construchon or!he � I � O I ^ O� � <br /> peAormance ol consfrucfion. That 1 am aufhorized by fho owner ol fhis property lo perlorm fha <br /> wo�k !or which application is medo and I comply wifh Ihe State Conirectors Law 1827 RCW and <br /> 296 200 WAC. <br /> .� ' � � D�I � <br /> Signn re Dnlo <br /> rrrv�sco onon:roia _ -----—�-- <br />