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 everett�va org <br />1 D ��-I -�N � <br />C ij�4 i�-o��-I I <br />30?,� � • �aw��.����• <br />PROJECT ADDRESS <br />�i —� . <br />t.,�n ��n-�('�� <br />i Owner <br />Terant <br />D �1J nqQ <br />A1a��l ACCress <br />Md'�I ACC�C55 <br />EleUric�l COntraGtc' .'�a�l Fdtliess , <br />e��x�.�1�9 <br />Siate Lcense mber (reC���eUj <br />Proposetl Use of Build�ng <br />Gry <br />C�ry <br />� <br />� Giy <br />Sauare Foota9e pf residemial new constructwn remotlel or adtluion) <br />ber of dewces (H iow voltage) <br />DescnpUon o( Wark to Be Done <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />� <br />State2�p <br />State2 p <br />StatclZ�p <br />Pnone <br />Phonc <br />C�ty of Everett Bus�ness License NumCer (reqwred) <br />'�Yln <br />Contract Pncc of Work <br />��r�n► aZs ����1�(� <br />Can cl PersoNCant�cl NcmberlEmail <br />lyn�+ eb�ac.ti-ii��h��• �� <br />I hereby cert�ty fhaf 1 have read and exammeAlhis applicahon and kno�v the same fo be hue and <br />conect Ali prowsions o! la�vs an.d ordmances governmg (his fype o( �vork vnU be compleled <br />�ehefher specdied herein or nol The granfing o! � pemid does nof presume to groe authonfy to <br />��olate o� carce/ the provisions o/ any olhr�r sfate cr local law regulatin� r.onstruchen e�+he <br />perlormance ol conslruchon hat 1 am authonzed by fhe owner of this property to perform fhe <br />�vork lor which appficah e nd 1 comply �vilh Ihe Sfato Contracfois Lav� 18 27 RCW and <br />296 200 WAC. %� i�. � 1 , <br />Fe���scn caos:roia <br />FEE <br />�� 00 <br />PERMITn <br />E ��((�-�� <br />�� <br />