Laserfiche WebLink
A�_—In _ ./ <br />%68 <br />- `7,CV ^ <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 />1E�y6FRe-rrg P5 ®�vE� v� • GoV <br />PROJECT ADDRESS <br />pl�O BOX 3702 SY44& 4)6 98121% 2207 11'Z5.3Z• 21 � <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />��1,�ia/it&X '�16 7��}Z75 'i�Z5z93�� <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number (required) City of Everett Business License Number (required) <br />0� a2� <br />Proposed Use of Building Contract Price of Work <br />Hoilm :?­e <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: LL ,`iL>CG(� l�!" <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE 1S 3105 <br />#�� 3 5 <br />I hereby certify that 1 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 <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 <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />PERMIT# <br />E 16 05 — I5 <br />296.200 WAC. <br />—_Z•-%— <br />GENERAL CONSTRUCTION COMPANY <br />r P. O. BOX 46 - MUKILTEO, WA 98275 <br />REVISED OW617014 G '� r' 425-294-6944 - FAX - 425-294-6947 <br />