Laserfiche WebLink
EL.ECTRICAL PERtVIIT APPLICA�'IO�V <br /> CITY OF EVERETT PERMI7 �ERViCES <br /> 3200 CEDAR STREET, EVERETT, W�98201 <br /> 425-257�381 D - FAX 425-257-8857—www.everetlwa.orfl <br /> �T)02� I� �J�s�i�l��'��--��� � <br /> PROJEC7 ADDRESS <br /> -1-� �� IZy'1��� ���.�,ry � � � � � <br /> StatelLp PI�nC <br /> �vf1Cf Mal A4tlm55 <br /> Tenant <br /> �✓ Mail Address City St2te2iD P���Q <br /> r , floY! � . � " � " �r, � iUD SD�2 <br /> EI^CUiCaI ConVeQor Mail/uld�ess <br /> City S�:rtc(GD Phone <br /> " �����" �" � � - Contrad Pnce ot WorK <br /> late License Numbe� � <br /> � �l� �� i^ <br /> ProPo d se of Bu' � Co Person (Plan Review) <br /> Square Foofr3ge Qf residar�tlal new consVucfion, remodel or nddltion) <br /> Nu�f ev��s(IflowvolWge) <br /> �esCtiptiCn of Work to Be Duna: ,�;,�j���/ , � U� lt/ ! fi�//!/J'��/"SL— <br /> � <br /> FEE <br /> /' � . . <br /> CITY OF EVER�T'LO�AI SALES TAX CODE IS 3105 (� .C . � <br /> I here6y cerh"fylhat I have read and examined Uiis applica6�on dnd know the same!o be bve and <br /> cwrecG FlII p�visions of laws and ordinances govpming this rypo of Nnrk will De ca'nPletetl <br /> whefher specifiod he/cin nr noL The granG�ng of a pemiit does nof presume fo grvo authority fo PERMIT# <br /> violate or cancel the provisions o(any othersraW orbcnf!aw regula6ng conSWcGon orthe r i �'�,: � _ � �_'� <br /> pedormance of consWctioa Thnt I am uuthoAzed by Ute rnmor of this pm�.er�fo oer/orm the C � � <br /> work Po�which applica6'on i;made and 1 romply�Ih the Sfate Contradors Law i8.17 RCW and <br /> 296.20� AC. <br /> � � ` `� � 1� <br /> Sg ure � ale <br /> � i,vi[ED:�:�vvs � <br />