Laserfiche WebLink
r <br />_� FCTRiGAL P�RMIT A,PPLIGAT'IC�N <br />(:ITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED fROM 8 AM TO 4 PM <br />n ., � <br />%//J �'-/� �; r StC z'✓c`h�; �� �"�l't"i O <br />PROJECT P.DDRESS <br />r/ (spi� <br />,F� ,�I/ r ��, ; �:,:�.. �-) <br />Owner Pdail Address Ciry <br />ienanl <br />�,�.� nwn_ �- <br />Eleclrical Contractor <br />Mail Address <br />Mail Address <br />State License Number <br />/ _ �, � <br />iQj�v,t � �;.�,.� �: �, � f��'f%�r �/ <br />Proposed Use of Building <br />'7%s L} f%f%/jOx <br />Square Feotage Q! residential new consiruclion, remodel or addition) <br />Description of Work to Be Done: <br />�; .� _ (`. <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, N1C OR AC CABLE . <br />h <br />City <br />City <br />Slate/Zip <br />SlatelZip <br />StatelZip <br />��. � -�z <br />�,�� ZU�J .-a � <br />Contract Price uf Work <br />�,.�, �.�f c, <br />Contact Person (Plan Reviev�) <br />�✓/•'• f f <br />(:ITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceRi(y tlr?t 1 havr. read and examined this application and kno�ro the same to be tiue and <br />correct All provisions o/latvs and ardinances goveming this type o( �vork ���ill be, cornple6.d <br />whetherspeci�ed herein ornot The granlinc� of a pernut does not presume to give airthcnty lo <br />violate orcanccl the provisions ol ar,y oUierstate or/ocal Imv regidahno consfrucfion or the <br />perfonnance o(construc(ion. That 1 am authoiized by (he ocmero(thisp roperiy to per`orm Ihe <br />r✓orl<lor which application is made and I comply �:afh the State Contracfors La�v 18.27 RCW and <br />?06.200 WAC. /� / <br />�--�f t � _ ��� %- <br />� <br />FEE <br />�] � C�''v <br />� <br />Phone <br />Phone <br />Ptone <br />�I������'�6 <br />