Laserfiche WebLink
E <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-6857 - www.everettwa.org <br />4u, 72 "'' -5�"z SE <br />PROJECT ADDRESS <br />roH �ly ��l 0 7Z"°�STSE �vz� Lt>ft 9? T20 <br />Owner Mall Addross Chy Sta1N2-p Phone <br />&2S) 322. -s o/ <br />Tenant MaA Address Chy stalelzlp Phone <br />Electrical Contractor Mal Address <br />,:Lltr�ys * o na <br />State license Number <br />Proposed Use of Bulding <br />Square Footage (If residential now construction, remodel or addition) <br />Number of devices (if low vollage) <br />Description of Work to Be Done* <br />CITY OF EVERETT I OCAL SALES TAX CODE IS 310S <br />Cdy <br />Steteap Phone <br />Contract Price of work <br />Contact Person (Plan Review) <br />I hereby cerhty that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this typo of work will be completed <br />whatherspecifed herein or not The granting of a permit does not presume to givo authonly to <br />violate ordancal fheprovisions of any otherstato orlocallaw regulating consfrudion or the <br />performance et constmchon. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contractors Law 18 27 RCw end <br />206,200 WAC <br />RIMSee.1r.1I1n3 <br />FEE <br />�5CID <br />PERMIT# — .. _ . ... <br />E;(.10 I� <br />i0 3Jtld 035 B 38IJ 0Id10Vd 091896190Z 91:60 hiOZ/SZ/LO <br />