Laserfiche WebLink
09/13/2016 08:54 3604740126 DONNEL50N ELECTP.--- -NC #3697 P. 001 /001 <br /> 1 <br /> ELECTRIC,'L. PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - PAX 425-257-8857—www-everettwa.gov <br /> i PROJECT ADDRESS ! <br /> I <br /> yz6 330 --7cio) <br /> j <br /> Owner Mail Address City State/Zip Phone j <br /> Tenant Mail Address City StatelZip Phone <br /> _DO grnP'150 <br /> Electrical Contractor Mail Address city State/zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed use of Building Conti t Price of Work <br /> L xmore K25A35R� f�fl8 <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> f <br /> E <br /> j Number of devices(if low voltage) <br /> Description of Work to Be Done: J A1�.w SLA i �l�r�,�r�� �Zlt1�a► <br /> 1 <br /> { FEE <br /> I CIT`(OF EVERETF LOCAL SALES TAX CODE iS 3105 <br /> 1 hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances goveming this type of work will be completed <br /> I whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the I I � <br /> performance of construction. That lam 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 and Ii <br /> 295.200 WAC. <br /> Da <br /> I <br /> ' REVISED 03/06/2014 � <br /> i <br />