Laserfiche WebLink
( � - � <br /> ELECTRICAL PERMIT APF�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857-www.everettwa.org (�_p8-/J� <br /> �/Say--��� <br /> I 5Z I 5 ►����N � rZ . �I �z��� <br /> PROJECT ADDRESS <br /> Ownef Mail Address Cny State/Zip Phone <br /> Tenant tdail Address Cny State2�p Phone <br /> yau � �i�f�z��Gi s�����s ��c �voc� ��� �'^ P� ,s� i3a-���ii <br /> [lecirical ConlraClor Mail Address Cdy Stale/Lp Phone <br /> 2C�Ca" ji0 H� � <br /> � ��1�1 � <br /> Slale License Number(required) Gty of Everelt Business License Number(required) <br /> ���d�r�-�� G� ' � 3 .�0.�� _ <br /> Proposed Use of Guildmg Contracl Price ol Work <br /> �� ��zUC �- IZc�:J�,� Z�.1 �G310�� � <br /> Squaie Footage(I(residential new construction, remodel or adddron) Contacl Person/Contacl Number/-mad <br /> Number of devices pf low voltage) <br /> Oescription of Work to f3e Done�. �U ��e�� 1)Z'�'' f-'n �5�1 N� S , f'—. � , ���C?��� <br /> {����� � �vcl l_���� ��c; ��-al�� en �s-�-� ,.� c7 2.00r����� <br /> � x � ��v�.�� �, ��ew Z �o v��� ���e-�z�a�v�l _ - <br /> FLE--- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 � ��,D� <br /> I hwehy cei}i/y ll�af I hnve rend.�nd examineU(his applic�0on nnd 1<now Ihe same lo be fnie and -.—_------ — <br /> correcf All provisions o/law�and ord�nances goveminy ilris f��pe ol wori<vnU be compfeted ------ — -- � <br /> whefher specilied hercin oi nol. The granfing o/a penml docs rtol presurne lo r�ive;�uUron(y lo PERMITN <br /> vio/atc o� canccllhc prnvisiuns o/any othr.i s(tdc orlocal law regulahny cons6uction or fhr. � ��, I �O�� I <br /> perlomi;ince o!r.onst�uclion. 7hal I am»ufAorired Gy tlre o��,rier ol(his p�ope�ty lo perlerm 1hr, -- � �- U -- I <br /> wo�k lur n�hicA�pphr, on is madc antl I carnply wdh fhe 5(a(c Conirar.lors Lov✓ 18.7.7 RCW�nJ � <br /> 29 .2 WAC. <br /> _���i1, �% _ �-1�5-Zv( 5- -- <br /> Signatmc � Date <br /> �� <br /> �r�vicr n oeror.r,ma ' <br />