Laserfiche WebLink
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 /> 3,ly Pr Y e EO-Cire.-4 ADDRESS <br /> j hOnAcds E 1wc,rJ..S LLC 41210 19 Sf 50 *06 Lyhhwool)10A 9146)34 <br /> Owner Mail Address City State/Zip Phone <br /> UA <br /> Tenant Mail Address City State/Zip Phone <br /> 01 vl tr '(ds I 19gril s+5w4gb6 LL iimu,oDA.) tA),L,(105-1 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> tAc A((4 rd SCg, Id— <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> ' l Description of Work to Be Done: u'pC,�e. Lot i r‘�� 1 ()APO <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 kkg D ` <br /> I 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 E (,0 ('ia <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and ` <br /> 296.200 WAC. <br /> Signature Date <br /> REVISED 08/06/2014 <br />