2023 STATE ST 2018-01-02 MF Import

iPR ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857 — vvvvv.everettwa.org a 3 S PROJECT ADDRESS 50�7 q a3097 l /Ah Owner Mail Address City Slate/Zip Phone Tenant Mad Address City SlatelZp Phone Electrical Contractor Mail Address City State/Zip Phone CLO Y—k Slate License Number Contract Price of Work Proposed Use of Building Contact Person (Plan 2eview) Square Footage (If residential new construction, remodel or addition) Number of devices (It low voltage) / Description of Work to Be Done: FEE CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ,SD - 0 0 hereby certify that I have read and examined this application and know the same to be true and ;orrect. All provisions of laws and ordinances governing this type of work will be completed vhether spe erein or not. The granting of a permit does not presume to give authority to riolate Ir ncel th provisions of any other slate erlocal law regulating conslruc hon or the by the owner of this property fo perform the [r� IeAorm ce of con truction. That I am authoni .rk r„ whim annl _atinn is made and/ coo the State Contractors Law 18.27 RCW and , : WAC. / �' Z/X