Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STRE[T, EVER[TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everemva.org n3,� S <br /> 5--�� <br /> E/5?�7--d�y <br /> zgz9 Ruc,l<e � <br /> PROJECT ADDRESS <br /> iC PM �u E2�?1" �� <br /> Owner Mad AtlOiess Gty SlalelLp Pnone <br /> I HA� B�Ts� ZBL� R�cl��� � �e✓eT7� UII� �IZS- 5G3-8254 <br /> Tenan! r.+a�i nad�ess C�ty Siatc2v nnone <br /> I �q�1� FiEcr�� 3ko�i Mc{��:caN�� Avc Ev�aca- bn� ��9ot �,�s•]sa�7ou' <br /> FlettrG3lContrBc�or Afaill.aa�ess Gty SlatclZip Pha��e <br /> I�A►ILLCi �11LQ� � � � Q ��-{ <br /> Slate License Numbei(repurted) Ciry of Everett 9usiness L�sense NumGer(requ�red) ' <br /> I$n� 00 <br /> Proposetl Use ol Bwlding Contract Pnce ol Work <br /> dl�N STCv@�li 3LD -Li I-OSII <br /> d steveNs 2da.l.l..l�etr��.c s rv. <br /> Square Footage!If resitlent�ai new tonslrucUon, �emoCel or atldihon) Gontact Person,Conlact NumberiEma I <br /> Number of devices(If low voltage) <br /> i Descnption ol Werk to�e Done A/G lJ � 1 � $ W 4,� O�1.� <br /> � <br /> FEE -- -- --- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 q�.5� <br /> 1�ereDy ceRJy fhal l have m.d and eram�ned fhis apphcalion and hnow fhe sanie fo be We and . ___ <br /> correcl. All proase�ns of laws anA ordindnces governmg fh�s fypc o!wu�wdl be compleled — <br /> ��hefhcr speahed herein or nof Ibe gianhng o/a permit does nof presume to 9ivc authonty fo P[RMfT� <br /> violale or cancel lhe provisrons o!any other sfatr.or local law regulatin9 consfruchorr or the E ��O� �r � <br /> peAo�mance o!construct�on Tha(1 em aufhonred Ay the o�vner o7 fbis proprrly fo pedom�the <br /> �ro�f:!or wh�ch app,Ycatron is made and 1 comp wrth the Slale Contraclors Law �817 RCW and <br /> 796 200 WAC. <br /> —7 3 -� J � �� <br /> Si_ al c Dalc � <br /> RP95EOOSOM1^011 <br />