Laserfiche WebLink
� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425257-8810 - FAX 425-257-BB57 -www.everettwa.org <br /> ��Da `� <br /> , Ci3o���� <br /> ��i 5-��c' �4- <br /> PROJECT ADDRESS <br /> �. C'-1L3� <br /> �o�Ce T''(c�nRon Ifol�-Cc�=' �l- ��a.rat� °i Wfj-9g2�1 2�g-094 <br /> Ovdner naad ndCress Crty St2;e2�p Phone <br /> N/� <br /> Tenan� Matl ndCress Gry �Iale2io Phone <br /> F ,dq4C �� Qo �x 270� �c.fnaale wA� 9$?S�� (3�) $�o-59e0 <br /> Eleciric�t Conlrector Mad p.tler„ss Gry Siatu2ip Phone <br /> � ���,�cO1tL�j ' �lOb <br /> Slale License Number Conlracl Price of Work <br /> �29ic�a.��:¢.� SF', �ri n t�ac1L <br /> Proposed U;e of Building Conlact Person (Plan Review) <br /> �,000 <br /> Squaie Foolage Qf residential nev,construction,remodel or atldition) <br /> 3 <br /> Number of devices(I`low voltage) <br /> Descriplion of Work to Be Done: T7�a.} ('Q-}t+p�-� •, �¢p,} Pw.1�1Q,S}a�, a� handl�=C <br /> I <br /> � <br /> FEE <br /> CITY OF EVERETT LOCAL SA�ES TAX CODE IS 9'105 � O (-,� <br /> \_J <br /> I hereby certify fhaf 1 have rnad and oxaminad this applicaBar and Mrow Me same fo bo huo and _ _ <br /> cortecf. All provisions o/laws and orrlinances goveming Mrs lypo ol work wi9 bo complorod <br /> wholhe�spoc�ad Aemm ornof. The granBng o/a pnimit doos not prosumo ro givo aulhorrrylo PERhIIT;r <br /> violate or cancel(ha provisions o/any aMer sfafe orlocal law rngulatrng construcGon or fhe <br /> perfoimanco o/conshucfion. TAat I am oufhorired Dy fhe ownor ol fhis propeAy fo perfomr lbo E � �.J Q� - �g <br /> work lor which applrcation is made and 1 comply wifA tRe Stafe Conhacfors Law iB27 RCW and <br /> �96.2�� P�-""�`-� �O-21-� ►3 <br /> SianaWre Ue9c ----�— <br /> RFViSflrJ;rvC� ..—_ _ _ ' _—"_ ____-- _ _ . ._ _ —_—___"" — _—.. _ —. _ I • <br />