Laserfiche WebLink
ELECTRICAL PERMIT APP�.ICATION <br />CITY OF EVERETT P�RMIT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />425-257-8610 - FAX 425-257-8857 - tvw�v.everettwa.org <br />� `3CJ�i M�r_�a�1 %�' A V E <br />PROJ%CTADORESS <br />�f�a-�4 <br />Eiy����� <br />�'4�+� �, Sa�.� - -- <br />O�vner I.ta;l Address Gry StatelZ'p Phone <br />Tenant <br />A4x�l Address <br />CAy <br />Stafe2ip <br />Phone <br />���_��SY1 13s Sku� G��c.�.k.. b,l� S �Jk ��2 �0,6 ��i5 �F3(�- <br />EledricalCcntraclor IAa��lAddress C�ry Stale2�p Phcne <br />�,00 r � � �a��- <br />Slate L��ense 'Jumbcr <br />Prapased Use o( �uilding <br />Squarr Footage (H residenlial new construction remodel or addiiion) <br />Nuntber of devices Q� lov� voitage) <br />� � <br />Descriplion of V�'ork to �e Done: �`���< L,�LJ� <br />CITY 0� EVERETT LOCAL SAL[S TAX CODE IS J105 <br />--� l Od 0 p _ . <br />CcNract Pric_ c('i�,'erk <br />Ccntact Person (Plan Reviev�) <br />1 he�uby certdy fha( I have read nnd eramined (his applicafiun and kno�� the s�une to Ge In�e vnd <br />correcL All pravisions of Imvs and ordinances godeming this type o/work �vill Ge compfeted <br />u�hefher specdir,d hemin ornoL The granfiny ol a permit does not presurne !0 9ive authorify b <br />violate orcancel lhe pmvisions ol3ny ofher sfafe er local/ac� regulafing cons(rucliorr or Ilre <br />peAormance o! cons(nic(ion. Thal I arn au(honzed by !he o�a�ner of this property (o pedo�m fhe <br />�vork lor �vhich applic�tion is made and I comply �vilh (he Stafe Confracfors La�v 18.27 RCW and <br />296200 WAC. <br />✓ �� <br />FEE <br />��d <br />� <br />P[RMIT:t <br />E 1���-Dl� <br />