Laserfiche WebLink
` —� --- � <br /> ELECTRICAL PERMIT .APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> �;25-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> � --a 9-�3 <br /> C �3 d7��3-7 <br /> �=Z.B 11 �le,irbro. ��zc�, <br /> PROJECT ADDRESS <br /> a s3-zZy-6� <br /> 1,�,et'� d Je�v �� �U e Y�-� l�� ��ZU�/ <br /> Owner� fdail Address Gty State/Zip Phone <br /> Tenant Mad Address C�ty Stale/Lp Phone <br /> t{2 S-LS�l-h76�/ <br /> v1 � . � r v� �� �£�55' /�C��r� �R �17e re'� <br /> EledriCalCoMr Cior - MalAddre Gly Stale/Zip Phone <br /> F ���-��-� oN�( K6 �/ov - <br /> Sta e License Number Contract Price o1 Work <br /> � F2 <br /> Proposed Use of 6uilding Contatl Person (Plan Review) <br /> ��00 f��� <br /> Square Footage(IFresidenlial new construction, remodel or adddion) <br /> Number of devices (II low vollage) <br /> Descriplion ol Work lo f3e Done� .��F/r�1.�-�- t :��{ Ir�d��C�G1h= a�t� __ <br /> ��-N��- ' ---� - -- <br /> ('[[ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 �S� <br /> I hereby ceRifylhat I have read and examined(his app6ca6on and knowlhe same fo be frue anU _____ <br /> conecl. All p�owsions ol laws and ordinanres goveming Ihis type ol work will be compleled � <br /> I <br /> whetherspec�6ed he�cin ornof. The gran(ing o/a pemid does nof pm.sume lo give authonty�n P[RI�11T# <br /> violate or cancel(he provisians ol an y ofher state or local law myidabng conslnicfron or fhe E 13 0 <br /> per/ormance ol consfruc(ion. Rral 1 am au(honzeJ by fhe owner o/thrs properiy fo perlonn fhe � _ I �� <br /> wo�k/or v✓h�ch appl�ca(ion is made and I comply wilh lhe Slafe Confracfors Law I8 27 RCW and . _ � <br /> 296 2 !tC <br /> � Signatwc O7-�'� —.- -p�����3 I <br /> I B1 I <br /> ncv�scn veo�u <br />