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 everettwa.org � �_�o) � 3 <br /> � 1�1 / --/l5� <br /> ��1 p � I� -s �� <br /> PROJECT ADDRESS <br /> � <br /> —�• 'f7✓� <br /> Ownci�—� Mail Address Cdy Slale2�p Phone <br /> Tenant Mad Addiess Ciry Slale2�p Phone <br /> i/�..� ,�u� �� '�r/fi p0 ��c�1��� ws-/1��v'�Z06 � <br /> Electn a1COnt�ac�Or V1adAtldress Gty State/Z�p Phone <br /> �-��P/��,M a ��0 GI _,��i �o- �o <br /> State Uce se Number Conlract Price ol Work <br /> Proposed Use of Bwldmg Con ad Pcrs n (Plan Revievi) <br /> � <br /> Square Footage (U residenUal nevi conslrudwq remodel or addilion) <br /> Number o1 dewces(II low vol�age) <br /> Descnption af Work to Be Done� �C�_J'�,C�J G �LC�S � � "O � LW�____. .. <br /> i <br /> _�,.�t,.�-,� /,� � .� P� �a _ � <br /> _ I <br /> - -- --- I <br /> FEE � ' <br /> I�, i <br /> GTY OF EVERETT LOCAL SALES TAX CODE IS 9105 J I <br /> � I <br /> I hcreGy certdy fha(I have ro�d ond examined fhis app��caGon and know fhe same lo bc fruc and _ <br /> coacc( All provisions ol la�vs and orAinances�oveming(his typc ol�:�o�k wdl hc complc(ed —� <br /> whefher speciGect herem or nof. 7he�ranfing ol a pennif does nof piesurne to give aufhonry lo pFRM[l�# <br /> v�olafeorcancellheprovisionso/anyolherslaleorlocallawro9ul�tingcons(n�chonorfhe � I j ) I � I ( � <br /> pedormance o/cnnsfn�ction. Thal l am aidhonred by(he o�vnerol fhis property lo pedonn Ihe l ( � <br /> v�ork lor whrch apphcafron is madc and l compty wdh Ihc Sfafc Contrac(ors Le�v 18.?7 RCWond <br /> 296 200 W�� _ //jn 1� <br /> �__---�-- - ---Datc y � -I � — <br /> S�gnaWre <br /> r,r p.�J O]c o�q � <br />