Laserfiche WebLink
425-252-1666 04 HEATIW, (114411 pm. 08-06-2015 314 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425.257.8810 - FAX 425.257-8857 —www.everettwaorg <br /> -731 5a44'1 Sr SN _ - 7-1 S <br /> PROJECT ADDRESS <br /> 1111 Qocd w A 9103 4Z5970-,09 <br /> Owner Ma1A ldress city SlatelLip More <br /> Tenant Mal!Adetess City Sttlezip Phoro <br /> Cm WCA inq I ncr R5 6roAAWO I 6 ku4L' wR a8w)1 45 2919Lwt, <br /> Electrical Contractor Mail Address City Stale/ZIP Phone <br /> -�MREAHV gMQ D100179 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed use of Building C�oont�rraactlt Pr;ce of Work <br /> S <br /> Square Foolaga(I1 residential new construction, remodel or addition) Corltad Po�rsoJNCtad Nunlbbmail� <br /> Number of devices(if low voltage) <br /> Doscrlpllon or Work to Be Done: <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE- IS 3105 <br /> I florally curlily(11011 have rued and examined this application and know the same to ho taro and V✓1 til/ <br /> coarct. All provisions of laws and ordinances governing this type of work will be comp",'," <br /> whathurspocinod heroin or not. Tho grunting of permit does not prosumn to give autllodty,to PERMITtt <br /> violate or cancel the provisions of any other slate orlucal law regulating consbuction or tho <br /> Pl <br /> ork for which Application Is n ado and I cion plyw will)(hie State Contractors Lav 18. 27 RCW and E <br /> 298.200 WAC. <br /> R <br /> Slgnaturo <br /> Dale <br /> naosm area^,err <br />