Laserfiche WebLink
05/12/2014 08: 44 2069575105 BLUE SKY ITI PAGE 02/02 <br /> • • <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �f0 --96s <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 1�0—(58, r -- ) . � - „ , <br /> 9'12 --4t4 <br /> 30 03 $/ Q 67/6--7L <br /> PROJECT ADDRESS <br /> Owner 7, <br /> Mall Address C <br /> StatelZlp Phone <br /> Tenant Mail Address <br /> City State,/Zip Phone <br /> '' � f/ _K3/5 , //6=f` � 77'/2/ S Yrr`?-� wh' 7ol C�� �o <br /> Electrical Contractor Mail Address <br /> City State/Zip Phone <br /> &VE3s1- 1Z <br /> State License Number — <br /> _ Contract Price of Work <br /> Proposed Use of Building — <br /> Contact Person (Plan Review) <br /> Square Footer e(If residential new construction, remodel or addition) <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: 4 - L /'7(2w L CC aP (//>°/;--&=,2j---- <br /> Var. <br /> />°/;- J <br /> vim cixcE, <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 7 co- <br /> , <br /> I <br /> hereby certify that I have reed and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specifier!heroin or not. The granting of a permit does not presume to give authority to PERh1IT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That t am authorized by the owner of this property to perforin the E 1405- 0(0g <br /> worts for which application is made : d t comply with the State Contractors Law 18.27 RCW and <br /> 296,200 WAC. <br /> �.✓ 05 <br /> tr <br /> �8h7re / <br /> /t ■ate <br /> REVISED 32CV°7 3 <br />