Laserfiche WebLink
Image (233),Ipg <br />• <br />ELECTRICAL PERMIT APPLICATION <br />ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257.8857 — www evereft 3 org <br />C 141a�IZ�j <br />HIS ` 1,,a ST s E f E,,.,,,, �� 9Y-L c-k <br />PROJECT <br />�Lr ADDRESS <br />Prop?(lt1 LLG 3(09 t f2 b3 '4577`f7D4 <br />Owner Mad Addn,ss City Slatelzm Phone <br />nalu,1f 4fs 9z&,, sr sE CWreji_ L�.411kzc' — <br />Tenant ,A, lf,,ss Mod Address City StatelZip Phone <br />U yk' f' — <br />Electrical Contractor Mail Address City State/Zip Phone <br />Slate License Number (required) City of Everett B isiness License Number (required) <br />Proposed Use of Budding Contract Price 01 Work <br />Square Footage (It residential new construction, remodel or addition) <br />Number of devices (II low voltage) <br />Description of Work to Be Done ✓b GIb G <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have mad and examined this application and know the same to be true and <br />correct Art provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or Cancel the provisions of any other slate or local law regulating construction or the <br />padormance of constmchon That I am authonred by the owner of this property to pet the <br />work for which application is made and I comply with the Stale Contractors Law 1e 27 HCW end <br />296 200 W <br />x /0/ 7/1y <br />SrOW7Dale <br />REWSE009aaA0ta <br />Z <br />FEE <br />150 <br />00 <br />PERMIT# <br />E IHID- IZ3 <br />h#psllmad.google comlmaillull l#tnboa/149ore9942b910077projeclots 1 III <br />