Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25?-8810 - FAX 425-257-8657 —www.everettwa.org � _ / _�S <br /> (o <br /> �,so u �az�a <br /> yl�l � '� �.e - S� <br /> PROJECT ADDRESS <br /> Ow e� ��� Maif Address City Sla�elLp Phone <br /> / <br /> Tenanl MailAdAress Cdy Slate2ip Phone <br /> �p � , I �it� Ilc Sgo�- 7�'"'' s S � lMa�n,+ IauP �vna� (,dA �I8d1g <br /> Electrical ConlraCtor Mail Address City Stale/Zip Phone <br /> 2°6-�-��1 <br /> ��P.��-rn P[-53�-3 B� _ <br /> State License Number(required) City o([verett Business License Number(required) <br /> �� � ta �2r�!'�('� ..[�C7 <br /> ���w�10 nn �- <br /> Proposed'Use of Duilding 6 Conlracl Price o(Work <br /> Q � . <br /> 2 e i ds 206 '� � <br /> Square Footage Qf residential new constructio , remo r addltion) Contact PersonlContact NumbedEmail <br /> �evl-e-r�-1�n" Pawer/i���,a,l,c <br /> Number ol devices(I(low vollage) <br /> Descriplion of Work to Be Donc�. _��L��M �/iLl'1DGWI �--�/�'1'�°� <br /> ��rn���cao�/�, �� �'i rGu;'1-S G1GtGPe � 0-1 <br /> �•�� -- — --- <br /> FEE <br /> CITY OF EVERETT LOCAL S�LES T!1%CODE IS 3705 �O <br /> 1 hereby cerD/y Ihal I have read and exarnmed Ihis applic��fion and know flre same lo Gc hue and __ ___ <br /> �o�ccr nu��o��s�o�,s ol laws and ordinances goveming fhis(ype oI work will be complefed -- <br /> whclher spccificJ hemin o�nol. Ihe gnnling o/a pwrnd docs no1 presumc fo give authonty fo PERMITtt <br /> violale or cancel fhr. provisions ol any a(he�s(u(e ur lor.al law regulatin�consln�cfion or fhe � ��� . I w O � � <br /> per/orrn��nce o/consfniclion. Ihaf I am aulhonzed bylhe owner o!flris p�opmty lu perfonn Ihe U- <br /> work!or which applicafion is maJe and 1 r.ornply wdh Ihe Slale Contracfors La�v 18.27 RCW�nJ ---- -_ _.. <br /> 296,200 WAC. <br /> � 6��� <br /> ��,;;,� o,�� — <br /> RF��SGo o69fi?Ota <br />