Laserfiche WebLink
01l1012014 14: 28 4252078891 QUALIT'f ELECTRIC PAGE 01/02 <br /> �L�CTRICA,L PE�MIT APPLICATI�N <br /> CITY OF EVER�TT PERIIAI7 SERVICES <br /> 3200 CEDAR STREET, EV�RETT, WA 9$201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> I 3! D <br /> ��fB� S� t��'t°vQ� 2Q/l .�/ G�1a,.,i <br /> pROJECT ADDRESS <br /> ���PK ��S`��c.�c/'awL�S l DOO.�t�4.. a�,�$,�,^G�� (�r^�a-�.�-o �=;� 32 g 3 7 �/O� Z�/S `t� 00 <br /> OWnel' Mail Address City Staie/Zip Phone <br /> l� <br /> Ten�nt � Mail Address City 5tatelZi� Pnone <br /> Q.r�,�u ��oC(,�'Al,6��.�5�.r 2ar Er �/a:«...t,�o�l.l�' I�Pc...�.ti wh� 9FoS7O <br /> El�ctriCal Contfactor M1�al�Address City State/Zfp Phane <br /> ����� � <br /> Q�4 CTl�c.R/S"S'/V 7`�O 0 0 � <br /> State License Number Contract Price of Work <br /> �pt��1.�c,i�P _���r+ �Gk[�,,odtlr�t � <br /> Proposed Use of Buildin9 � Contact Person (Plan ReVieW) <br /> —�l�A <br /> Square�dofage(If re5identiaE new eotlst�uction, remodef or acldltlon) <br /> �__.�/�i'4 <br /> Number f devices(If low voltage) <br /> Description of Work to Be Done: �[�.r� A�.X o'� D� A.pt� lr S ,u, a•7r � ,�„4Q,� <br /> � rn�..N .SPwN,rS_�p__- - <br /> FEE <br /> CITY OF�VERETT LOCA�SALES TAX CODE IS 3105 �� <br /> I, l� yr <br /> !hereby certify that 1 havs read end ex�mined fhis applice#ian and know the same to be true ar7c! <br /> correct. Al�provisions of laws and ordfr►ances gaveming this typ�of work vvrN be completed <br /> whstherspeclfied hereJn ornot. The granh'�g of a permrf does rrot presume to yive aufhorify to PERMIT# <br /> violafe or cance!the provisior�s of any ofher state or local law regulaNng consfrucfion or the � <br /> �iertom�ar�ce of construction. Tliat!ern authorized by the owner of this propvrty fo pertorm tt�e 1 l�Q 1 — � I_3 <br /> wor�'c for which app!lcation is made and 1 comp�y with the 5tato Gontractors Law 18,27 RCW and �� <br /> 298,200 W <br /> � �� �S/ <br /> gnatu Daf <br /> REVISE!}3/20179 <br />