Laserfiche WebLink
Aug 29 14 01 £6p Accomplish Electric 360-863-6511 p 2 <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 — %",PN.everettwa.org <br />C)_o�—iy <br />C14a�-1�2 <br />PROJECT ADDRESS <br />V� (�/� roty.a4 �;�.J1-�t-J�Ji• `�' <br />C• i �� �/tr-C1�t-�FtV'�.. �V9 f State2Io Prone <br />i U:rncr <br />Addressu C'N <br />I <br />Cl" Staletbo Phone <br />I Tenant klail Address 3\:J •, <br />jA Z C rnokr' State2ip Phone <br />Electrical Contractor <br />M.ai Adcress Gty <br />n stgLl(Yi <br />— City of Everett Business License Number (required) <br />Sale LicenSO Number freguired) <br />I Proposed Use of Butttltng ..) <br />7 <br />J <br />i Square Footage (II resitle adl new ConsVUClIOn, remodel or adtldion) <br />1 <br />I <br />Numbor of devrCeS (It low vcllage) <br />Description of Work to Be Done. �� �•''� �tvt ncJ <br />CITY OF EVERETT' LOCAL SALES TAX CODE IS 3105 <br />Contract Price of Work <br />JoJ ),tires .%C'6-Z-)� <br />Contact e,sonfCaritact NurnberiFm011 <br />I hereby certify that I have road and examined this application and know the Same to be true and <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />wheilter specified herein or not. The granting of a permit does not pfesuhle to give authonly to <br />violate or cancel the provisions of any other state or local law r• gulaling construction or the <br />performance of construction. That I am authorized by the owno: of this property 10 porform the <br />work for which epplicalion is made and I comply with the Slate Contractors Law 18.27 RCW and <br />296.200 PC. <br />i <br />iWV,SEe M0014 <br />FEE <br />PERMIT7t �1 <br />I <br />E jq0$- r72 <br />