Laserfiche WebLink
• <br />C� <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 <br />�i �,� �,,,�,����Q �v�� <br />PROJECTADDRESS <br />Tenant <br />'aa sr� :fU <br />CoNraclor <br />iCS� ����?D <br />Sla�c License Nu`mber <br />Proposed Use of �uilding <br />Mail Address <br />Matl Address <br />Mail Adtlress <br />Square Footage Qf resideNial new construclion, remodel or adddion) <br />Number o( evices Q� lo�v voltage) <br />Description o( Work lo Oe Dune� <br />CITY OF E:VERETT LOCAL SALES TAX CODE IS 3105 <br />C�ry <br />Cily <br />Cily <br />3—I�—ly. <br />E � �to3—tx� <br />C� r� <br />1��. /S/aJ �SS�) Y <br />Slale2ip Phonc <br />Sfate/Lp Phone <br />`-/�')� <br />� <br />SlatelYip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />I hereby ceriily Ihaf 1 have read and examined fl�is �pplication and know U�c same (o be frue and <br />r,o�iecf. AA p�ovisions o! laws and ordinances goveming this lype of tvork will be completed <br />whefher spr.cdied hwe�n ornoL The gnnfing o/ a pem�if does not preswne to give aulhonty to <br />violafe or cancel flre pr�visions o/ any otlier stafe or locnl law regula(ing cons(n�r.(ion or lhe <br />pedonnance nl consfruc(ion. Thaf I arn authonzed by fhr, oivner ol this property fo pe�/omi fhe <br />wuik for�vhich app��cation is madc and I compty wifh the Sf�fe Confractors Law 18.27 RCW and <br />296 AC <br />' ` 3`�� � �- -- <br />Si nalw ���� <br />ur vc;en v: oiu <br />Phone <br />F[E <br />� � <br />PFRM[T;t <br />E j �(0 3 - ��.� <br />