Laserfiche WebLink
ELECT�ICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820 i <br /> 425-257-8810 - FAX 425-257-6857 -www.everethva.org <br /> / -- �2 Z —/� <br /> p �ISGI —s05 <br /> Z2� 0 �ZoC.�f� ��. ��� � <br /> PROJECT ADDRESS <br /> S�ec,���s ZZ! a' �Ze���� ra,e,crf� �A- y��l <br /> Oemer 1.1ail�ddrcss Cuy Stale2ip Phone <br /> �V1 �Un 4'S 9.ho ZoG GZZ <br /> Gn� S t v� � qz� <br /> TenaN hta�i Address G;y Stale2�p Phone <br /> 4 ZS-Zo$ <br /> vs��_�/cc�ri�. l�s�7 Ya'FT ��s-� s,v��a.,.�s� t,,/f �o�i`���1 <br /> Lledrical Contratto� I:tai�Address Ciry Sta;c!7ip Phone <br /> �v -�,'� ' �a'3 .�'D 0� l( � g - <br /> Slale L�ccnsc Number(required) Cdy of Fveretl Bu�si2ess License IJumber(requited� <br /> se <br /> �D ' <br /> � Preposed l�se ol Cwl�;�ng -.._. ..- - -... . . - �_ontracl Price:4 N'eiF. -� --_-- <br /> ��+t`C ZO�o �a ZZ �Szd� <br /> Square Footage Qf resident�ai nev�construcl�on,remodel or addihon) Contacl Person�Conlact Number/ema�l <br /> Number of devices Qf low voltage) <br /> Description of Vt'ork to �e Done� �����p, � 'r�— .-- -- <br /> r �� <br /> – — — <br /> � FG[ ------ -- - <br /> I CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 �r O O <br /> ;J <br /> 1 hereby ceddy fhaf I have read and examined fhis applicalion ond kno�•�fhe sarne fo be(nm anJ _____.___ __ <br /> �:onec(. �II prows�ons ol!�nvs and ordin,�ncrs gnvemrng Ihis fype o!�vork wdl 6e rompleled <br /> r�hcfhei sprcilied hemrn o�noL The granfing of a prrnuf does nul p�csume fn yive aulhonty fo P[Rhlll-;: — I <br /> ��iola(e or cancel lhe provisions ol arp�o(hers(ale or localla�.reyidatin�construcfion or fhr <br /> perinrmance ol construction. Th am aufhorized b}�fhe o�vnzr ol Ihis property fo pe�fonn the E ��Q I — ! D5 <br /> irak lo��vhich appGca(ion i n anJ I compf}��vifh fhc S(afe Conlracfors La�v 18.27 RCIN and _ _ _ _ _ __ <br /> 296 200 W! <br /> �Q� �i�— UJ/ S� <br /> Si9nalur — ------ — Dalc --�--- <br /> Frr�s•naersam� I <br />