Laserfiche WebLink
Mar 2215 05:39p Lindsey Electric LLC 153-445-4082 p.1 <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--w+niw.everettwa.org <br /> 13T <br /> �`);, ACI 111:7r. E �Ux.i(t✓t E� l 561... �'1)a) <br /> PROJECT ADDRESS <br /> Owner Mail Address 'City State/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> Lt;w-57>Sty Cc iia‘ c- puyaf.l u,I) Li cf ` 1.) ; i..5 <br /> Electrical Contractor Mail Address City Slate/Zip Phone <br /> State License Number(required) City of Evetett Business License Number(required) <br /> Proposed Use of Building Contract Price of Work <br /> if residential new construction, remodel or addition <br /> Square Footage( ) Contact Person/Contact Nu ber/Email <br /> C2-.0e4eckl.i�1ci i iN DS 6%, <br /> . <br /> Number of devices (if low voltage) <br /> Description of Work to Be Done: 9.2 t) �'� ��if] / !%LFA Ct dd., a-1/1 t t VL <br /> C 141 t 2:1 <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �b <br /> I hereby certify that f 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 PERM1TT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the E l_/ D 3' t <br /> performance of construction. That I 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 /> 296.200 WAC. { <br /> 14-4 i•JLLt 1 I1lttR h 1);), <br /> Signature ate <br /> REVISED 084.6201{ <br />