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.crg <br /> f 0�-6�, , l� <br /> I�I�N�� rr��ll �r�e {���� C iu �D-d�((� <br /> PROJECT ADDRESS <br /> ����� �� Fs��-�5 <br /> Owner Mail Atldress City StalelLp Phone <br /> Tenanl Mail�ddress Cily Slate/Zip Phone <br /> ��`� r!�� �1����r z�,,� ��r�z,�s �� zos� �rk,�,�. �c L� �<.,� �la�a s--z- <br /> -Iecl calConlraetor MaiiAddress Ciry Sta�e�Zip yZy.�y� 7�L � <br /> ��aitn� I� / �l� D�'�� 1 <br /> Slale icense Number(required) Ciry of Everetl Business License Number(reqwred) <br /> � .�yD o—�rJ I <br /> >-rc,�c- ° . <br /> Proposed Use Building Contract Price of Work <br /> Square Footage Q(reside�lial new construction,remodel or addilion) Contact Person/Contacl NumbedEmail <br /> Number of devices(�f low voltage) <br /> Descriptian o1 Work to De Done: �"�l�'! C e ��M` (?��D�v���J���S �-- <br /> (� <br /> S�ti�� c� , c� ru�5�1c-�(I (1 �zc�zoa'✓ _ �looz����u��c _ <br /> rer <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �DD •UU <br /> 1 heraby cerlily thaf 1 have read nnd examined fhis applicalion and know fhe same to Uc tnie and _— <br /> conecL �tll provisions ollaws and ordinances governing this type o/vdorlc will he complefed <br /> whefher specdied Irorein or noL The granfuig o(a permd does nof presume lo give aidlionty lo PFRMIT/t <br /> violate or cancel fhe provisions ol ony ofhr.�slafr. orlocal law�eg�dafrng cons(rucfion or fhr. E � y�0 - 6 `�� <br /> perfomiance of cons(ruclion. Thaf I am aulhonzed by fhe owner o((bis propmty fo perfonn(he <br /> work Ior whicli applica(ion is rm�de and I comply wilh(he Sfale Confractors Law 18.27 RCW and __ <br /> 29G.200 WAC. <br /> �//�> ��� ��ly -�j <br /> ��%' `gigna�ure Dalc --- <br /> HFv1;EDaN.Dc.oia � • <br />