Laserfiche WebLink
.............. <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.everettwa.org <br /> PROJECT ADDRESS <br /> a'C 1 1 j <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address City stateizip Phone <br /> Ack-k � k4 01 5 1344"L S 44 S) l08 '�Oko �Pq 6 7DA ID D <br /> Electrical Contractor Mail Address city StatelZip Phone <br /> 0cp <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Jg. o c <br /> Square Footage(if residential new construction, remodel or addition) Contact PersonlContac[NumbertEmail I <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: V.,-)Y-\ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> thereby certify that/have read and examined this application and know the same to be true an, CDC <br /> i correct. All 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 PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That/am authorized by the owner of this property to perform the E <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br /> 9 .200 WAC. <br /> W <br /> AC� jj <br /> Signature Q to <br />