Laserfiche WebLink
'� /0 29do-3 707.99 /i9� <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 /> ky�i2�'-`rT"�PS ® �1lERE'rrvV�4. GOV <br /> PROJECT ADDRESS <br /> 1�0,o BOX 3707 eYa4& Ah9 9F/2-51-2207 -1-Z6. 03ZIO 2/2/ <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Electrical Contractor Mail Address City Slate/Zip Phone <br /> o�a5 99 <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> Square Footage(If residential new construction,remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: yl-'CAis <br /> FEE <br /> �J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> l 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 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 I am authorized by the owner of this property to perform the t <br /> work for which application is made and f comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC., <br /> gnatureDate .. , <br /> GENERAL CONSTRUCTION COMPANY <br /> P.O.BOX 46-MUIQLTEO,WA 98275 <br /> REVISED OF/05/1074 ��}'/L �' 425-294-6944-FAX-425-294-66947 <br />