Laserfiche WebLink
� <br />- -- � -- - <br />I <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 — wv,�v✓ everettwa org <br />� �����r��� ��� <br />PROJECTADDRESS <br />�,, 1���� -��D".,� �.�/�i % <br />Owner h1aJ Atl�ress <br />Tenant <br />t.7ail ACOre55 <br />;;�-:;�,;;��:G„�,�i� . 1.:1'� <br />--�- <br />ctncai Contraeror r,ta i �dc�ess <br />��%u,�,i� %�/r��c <br />Stale _icense Number <br />l �� / ��Y�'u� <br />Proposad Usc of 6udtl itg l/ <br />Square Foc!?qe Q( residen:lai new constr�ichon, remodel or adtlilion) <br />Number of devices (If lo�v vollaqe) <br />Descn �hon of Work t� <br />�% /� �L�'-/J� <br />( _il, y �// I/ <br />_ ✓ <br />C�ty <br />G;y <br />Stale'Z P <br />StateiLp <br />��i�� GG�• �3�1 <br />Phone <br />Pnone <br />y�t ;�7��1.'�� , <br />Cny Statc/Z�p - Phone <br />/// .�� <br />Contract Pnce ot Work <br />Contact Person (Plan Reviev+) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby r.ertd}- (haf I h,i�e read ,�nA e�anrined tl:�s appbca6on anJ kno�v Ihc sarne lo be hue and <br />coimcf. All provrsrans o/ la�vs nnd ord�nances yoveming fBis type oI ivort� wrll be r.ampleleA <br />whelhcr specd�ed heroin or not. 7he granhng o/ a pernnt does not presumc to give aulharity fo <br />v�olate or cancel the prowsions ol any other state or local la�v regulafing consfiuct�on or fhe <br />pedonnance o/ consfnictron T h,�t I am aulhonzed by the o�vner ol fhis propeRy to perlorm the <br />ii�wM for' ��.fuch applrcafron is rnade ond 1 cornpty vn�h Ihe Sfn7e Contracfors Lai� 1877 F7GW and <br />2d6 200 bVAC <br />,� <br />r.r-v�s=o i.au <br />FE[ -----� <br />� �-s� a� <br />PERMff;t <br />E 13I7,-vt3 <br />