Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257•8810 - FAX 425-257-8857 — ww�v.everettwa.org <br />ZS13- Roc�EF�c��c ��vr F��,y/ �f2o( <br />PROJECT ADDRESS <br />Or�4L ��l-�L��/ <br />Owner <br />�da�l <br />City <br />State2�p <br />�� ��IU <br />� �4a�-oU3 <br />CG1�^/ il9L fi,�'l/f/7�Cf�S S��E' �•� S<r�v� <br />Tenant MaJ �ddress Ciry Sla;c.'Z�p Phone <br />�rl�i��l4- �'c El'7� I C �r-'� �f SouTf/ �('irQiFc,c%- S1�E% "h'v' (�.G��itl �/�� <br />Eledrital Contra[tor hlail Address City Slate�Lip Phone <br />���r 1 �I'�/oD�/ <br />Slale License \'umber (required) <br />C'oc�rr�f�ieG� t9-L l��rCF;. S�� <br />Proposed Use of Buildmg <br />/ <br />Square Footage Qf residential new construclion. remodel or addi6on) <br />Number ol d ices (If low voltage) <br />City o( Everett Gusiness License Number (reqwred) <br />�^, v Cl — <br />�Y/ —. <br />Conlract Pnce of 41'ork <br />y�A,s�� ,- ��= 2 yz� 3� 7--�� � <br />Conlacl PersoniContact Numberl[mail <br />Description ol Work to Be Done�. l��/i ��GN% �'v s% �i1�Ll/��LL ���"7 �X� %�GS�(� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hmehy certr(y fhal I have mad and exarnined (his app/icafion and know Ihe same lo be We and <br />conect �II pmvisrons ol laws and oroinances goveming thrs fype ol work �vill be cornpleted <br />whefher spcc�ficd hemin or noL The granlin9 oI a pcnnif does nol pmsume (o give aufhonty !o <br />vlola(e or cancef fhe prov�sions o( any olher sfafe or local law regulalin� consf�ucfion or the <br />perlonnance ol consWcfion, Tha(1 arn aufhonzed by fhe oa�ner o! fhis properfy to perfomi the <br />�vork lor �vhich appi{c�lion is nmde and 1 comply wdh Ihe Stafe Conf�acfors Law 18.27 RCW and <br />296200�WAC A <br />O/ <br />REVI <CP afi0.V101 a <br />FEE <br />�0�5D <br />PERMIT� <br />E I �0� - 0�3 <br />