Laserfiche WebLink
— -� - - -- ----, <br /> — -- - --- � -- -- --- � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES I, <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wwnv.everettwa.org <br /> I <br /> I <br /> I <br /> i � �s� Pe..� k s O Q <br /> ', PROJECT ADDRESS <br /> ' �M�c�.T..c� �Su c�, b'b 0�1 5� . Av1 ck� S �P m,. k , � �o u��� G q�7� <br /> t�tadACdress Ci.y Sla;e,l�p Phone <br /> Crrner 42S 3�/3 ?57S" <br /> ,� ,��.� ,. k �. �s <br /> TenaN t.ladAddress Gry Slate/Z�p Phone <br /> �1 I <br /> I ���'1^�.�:T � �D�� � b �6 �17 L �� J �:IJRfL�� .Y � Y2s� 1s� �- ��` p' I . <br /> Eleclncai Contraclor fdailAdCress C�ry State'Zip Pnone <br /> � ..-. P �s 6 ,,,,�" 0 S 3 �7� <br /> Sta e License Number(required) City of Everett Busmess License Numher(reqwred) <br /> !� � ZOOE�. O(7 <br /> � 4C 0 S� ��- ��� Contrad Price o(NJork <br /> ; Proposed Use of�wlding <br /> � \ i <br /> � UZs �sa �S!�b <br /> 1 � � �^'� <br /> Square Footage Q(residenUal new construc6on, remodel or addition) Contac�P rsoNContact NumbedEmad <br /> � Number of devices(II low voltage) <br /> I Descnpuon of Work to�e Done- 2 �h« ��� �'"`�`�•�-�'"' N"�S� � <br /> I <br /> � PEE <br /> ICITY OF EVERETT LOCAL SALES TAX CODE• IS 7105 / ✓'� "`� I <br /> 6 ✓ � <br /> 1 hereby ceRily 7hat I have read and examined lh�s app6cahon and know fhe sarne to Ge frue and __ <br /> cormcf. All provisions olla�vs and ordinances goveming f�vs type ul wortc wdl Ge complefe� I <br /> i vdmfher specdied hemin or not The granfing o/a pemuf does not presumc ro givc authonty fo PERMCT# , <br /> � violafe or cancel fhe provis�ons ol any other s�ale orlocal law rngulating consWcGon or the r I �O�_ D,... <br /> peAormance al consWcfion. That I am aufhonzed by the ownerol this property to pedo�m fhe t �I <br /> �:ork/or which application is made and I compty�vifh fhe Stafe Contracfors La�v 18.27 RCW and �_._�_� <br /> ( 296 200 WAC <br /> y� -� Z-- S����i y � <br /> �� - Dace <br /> S gnaturc <br /> � -n�v�5E0Ji/J6ROu '_ _'._ -_____-'__._-- --- _ --. _ - _ -_. _ -'_-' -_ . � <br />