Laserfiche WebLink
-� �-- - ----�i <br /> � - <br /> - ----- - <br /> - ---. <br /> ELECTRICAL PERMIT APPLICATION �� <br /> I CITY OF EVERETT PERMIT SERVICES 'I <br /> 3200 CEDAR STREET, EVERETT, WA 982�1 <br /> 425-257-8810 - FAX 425-257-8857 —v✓v�nv.everetlwa.org <br /> /G ��3��y <br /> C i yio--i�S I <br /> � U � S�.'l C .1 S c-� LC�ri'_/ <br /> PROJECTADDRESS <br /> I STL/-� �- U/ Ji7in /s — <br /> Owner M1"aiiAdtlress Gty Slate�Z�p Fhone i <br /> ��.� ,Eo !�-�1 S�:✓c.�So... G./..,� `v-Crf?- ui1� 9fJc>1 - <br /> TenaN L9a�lAtldress � C�Iy StaleiLp Phone <br /> �/iJ- <br /> /�r �.s s �� l ��P� �r -� -T � /'�r � Y9 1�r/�,.��,,. r�iA 961-1_i St��d�y,� <br /> EletlriealConiratlor lda�lAddre,s Ciry Sta:e�T.ip Phone <br /> �1? or- �� ro � �,�� 01GD � � _ <br /> State Licensc Number(required) City of Everetl Busmess Gcense Number�requveAl <br /> I I <br /> /.I, _a �� �'� <br /> /Bo0 �� <br /> Proposed Use ol[iwlding Contract Price of Work <br /> �/ /d_J— <br /> C��c'�G �jG�JJ � ���—�CL <br /> Square Footage pl residential new construction,remodel or addAion) Contact Person/Contac� NumbedEmad <br /> Numbcr ol dewces(If low vollage) <br /> Descnption ol Work to Be Done� _��:lal �� �-U/����t� � �e��=" �`'� d — <br /> C'��� T�r.--.� pi� e' /'f'�r'��c. �P G'i/��. �� �. // ..� ��r �•-���' ��'iJ�C'__ <br /> ----� <br /> f-[E <br /> CITY OF EVERETT LOCAL S.1LES TAX CODE IS 3105 Q6 "� <br /> 1 <br /> 1 Aeieby ceriily lhal 1 have mad and examined Ihis applica6on and know Ihe same(n be Irue and ___ <br /> conect. �ll pravisions ollaws and ordinances goveming fhis fype o/work �vill Ue cemplefed --- <br /> whefher speci6ed herein or no(. Thc granfing o/a pennd does not pmsurne!o givc aulho�ity lo PERh1IT« <br /> violale or cancel fhe pravisions oI any o(hersfafe or local law regulating construchon or the E � ��D-l5� <br /> peAcrriance ol consfaicfion. 7hat I am aulhonzed by the o�vner oI this property!o perfomi tAe <br /> �vorfi !c!which application is maAe and 1 comply wifh the Sfate Contrac(ors La�v 78.27 RCbV and <br /> 296.200 WAC. <br /> �a� �_`-�,-'2`—, �a�,�J/�// <br /> SignaNrc Date <br /> REViSEL OB06:Ola <br />