5109 SOUND AVE 2017-08-02 - Laserfiche WebLink

03/z3/2015 MON 17: 57 FAx �002/003 _ _ _ _ _ __ ELECTRICAL PERMIT APPLICATION CtTY �F EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 425-257-8810 - FAX 425-257-8857—www.everettwa.org _�11�� n��►_�! , PROJECT ADpRESS CR.Y 1� ��'�t� `�Ib� 1 r Sv�(�,2. w � . Ownef Mafl Address Cify Slate/Zip Phone � � Tenant Mail Address C1ty State/Zip Phone �.�.Y��.n � � e�i�. 1�1�1 2nc� I�e�.n-� ��n�►� , �� 2�� o� �{I�i•� EleCtrical Contfactof Mail Address City State/Zip Phone lU�'0�-��C�J`��l --�_��Z tate-6�cer�se Number{feq�iFed�----� -------------_----------._:--C-itq-of E�efeft-B�tsiness Liee€�se-Nurr�ber(T�qvfred)-�_-__._.__._-- ��,�.�1�1'�� -� � �1��D0� Proposed Use of Building Confract Price of Work d `� �flG��D•�1q�� Square Footage(!f residential n w construction, remodel or addition) Contact Person/Cqn,ta,c�f umber/E ail di��,�l.��..�m��1 C°��. Number of devices(if low voltage) � f� ` Description of Work to Be Done: ` 1 L � � � . �� . (/ � �Y�I�t) ti��lJ� FEE CI'i'Y OF EVERETI'LOCAL SALES TAX CODE IS 3105 � 1^ O W� � L . l hereby certify that l have read and examined this application and know the same to be true and cor�ect. All provisions of/aws and ordinances governing this type of work wil/be completed ' whether specified herein or nof. The granting of a permit does not presume fo give authority to pERMIT# ! violaie or cancel the provisions of any other state orlocal law regulating construction or the � p ormance of onstruction. That I am autho�ized by the owner of this property fo perform the E��b�r l�� ork for which �plication is made and l comply with the State Contractors Law 18.27 RCW and i6.200 WA C � � I ' �'� `-� ✓ ✓� I . Signature Date ' REVlSEDO&t76/2074 I I I .