Laserfiche WebLink
�...+ . .. �� . . p�g. <br />�k.f�",,�k`d7?}� .. �tr'���tlii/! "'$aiifi ..�'. ;: -�r/ ... � '��. <br /> �i , _ ;� ., �O . ' �.', _.. <br /> �, �.+�s ,,"', . �__ _ _ :.:,..�_ .:._ _ _ _ _ . --_:_._ _.. . _ � —h, <br /> a __ .. _ ... _ — — <br /> � i . <br /> _ .— ----- - --- - ------ � ---- - <br /> �-- - - ---- - ----- -. — __. .--- - � i <br /> � <br /> � ELEC1'RICAL PERMIT APPLICATION �I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> i425-257-8810 - FAX 425-257�8857 — www.everettwa.org I <br /> � �iqaq--G6`� I <br /> ' ��3/ 3 G��.Sr �`'va�� �� q --io - l�G � <br /> � <br /> j PROJECT ADDRESS <br /> i I <br /> �`�,�'��v���lL �Za� C�� ,� �'„��i` l//L 9�za/ ' <br /> 0�•mer Mail Addrzss � Gry SlatelZ�p Phone <br /> i <br /> i <br /> I1■■■ <br /> Tenant ldad Address Clty SlatelZip Phone � <br /> I <br /> � G,O�, �0//1 � I <br /> ' Eleclrical Cent!actor P.:ail Ad7ress Ciry State/Z�p Phone <br /> I <br /> I /'�/�/�G.OL 9i �,��-- ��oa � <br /> , Sla�e License Number Coidrad Price of Work <br /> Z�/�// ��� <br /> Proposed Use cf B��' ng Conlacl Person (Plan Review) �. <br /> I <br /> �/� I <br /> Square Footage pf residential nevi construclion, remodel oi addition) <br /> I / I <br /> INumber o(devices QI luw vollage) � <br /> I � // / / ���� <br /> Descriplion of Work to Be Done- _���r/ .c .sQhYn�.i.S� ¢_I4,i���'—(�-""�-�'- I <br /> I <br /> I <br /> I ----------- --� ------- — --- I <br /> I FEE <br /> ICITY OF EVEREI'T LOCAL SALES TAX CODE IS 3105 � G � � J� <br /> I � V <br /> I hereby certdy thal I have ieud and ezamined this applicafion and knov�lhe same fo be true and <br /> IconecL NI p�ovisions ollaws and ordinances goveming this type ol�vork�vill be complcted <br /> whether speci(ied hemin or noL The gran(ing o!a permit does not piesume(o give aulhonty(o PERh1ITY, <br /> Iviola(e or cancel(he provisions ol any other state or loca!law regidating constrocl�on or fhe I <br /> , perlo�mance ol construcfion. That f am aidhonzed by Ihe ov,ner o/fhis property fo peAoim fhe E � �D� -- D�Q� <br /> v�ork lor��hich appLcalion is made and 1 comply with Ihe Sfate Contractors La�v 78.27 RCIN and ___ <br /> 296.200 WAC. <br /> i �`-- ���� 9-�G/� <br /> I ignature Date <br /> I <br /> I ;.F�;:_,., :T.:r; I t <br />