Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVER T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />ABC i%U8�q t l- <br />PROJECTADDRESS <br />% <br />C- t 5o -7 as b <br />? -- 1600 WAi,OL;r L J A `776 5 Zoo S2� <br />Owner Mail Address City State/zip Phone <br />Tenant <br />Mail Address <br />City <br />Statelzip <br />Phone <br />��;ConsrrroPo.��-�-�L _�r�� JaL� �l `l <br />'I c6ot/ 7 �1� Zav <br />Electrical Contractor Mad Address City Statelzip Phone <br />1%=S�o��4S�3 PAS (��a 3Co3 0 <br />State License Number (required) City <br />yoo'ffEEverett Business License Number (required) <br />«= �i'dGV tlA-V 61f V'q 1� t OCSy --- <br />Proposed Use of Building Contract Price of Work <br />I� U Ci �� ✓ 1. W C 2® - Zdy - $7-7 _ <br />Square Footage (If residential new construction, remodel or addition) Contact Person/Contact NumbedEmail <br />Number of devices (if low voltage) <br />Description of Work to Be Done: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify trial I have read and examined this application and know the, sane to be true and <br />correct. All provisions of laws and ordinances governing this type of work writ he completed <br />whether specified herein or not. The granting of a peal( does not presume to give authonly to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of constnrction. That I am authorized by the owner of this properly to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />205.2 AC <br />i0 f l �J <br />-- -- ig alerc Date <br />FEE — ---- <br />r1'(-0�-b <br />14ev6Fn oemeco,a <br />