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 />���� ii��f�, 5� �E �'�!' <br />PROJECT ADDRESS <br />� Ll�r - 2 � ��-�z�� ��� 1� ��� i �x«-�r-,�D�rcE � <br />-� Gk�r� � y� �a � �, � Prrjl.�-L � :� <br />OWner' Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip �,�] Phone <br />� z.. � <br />�x - a <br />������°�1r� ����ac' ,�`�� /=�x �%�� L:.4`� tc��-f `�c�Zi.� � �- Is � <br />EleCt�iCal ContraCtor Mail Address City State/Zip Phone <br />�' i�L� r "1 % �� / ��i J � C� <br />Stat� nse Number (required) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />C��L���Z�4 <br />City of Everett Business License Number (required} <br />�� <br />a�= <br />�ontract Price of Work <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: �1����'-'�L%^���'-%�`ir%-� .7�'�%���� �C�;�Z �— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that l have read and examined this application and know fhe same to be true and <br />correct. All provisions of laws and ordinances goveming this fype of work wilf be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violafe or cancel the provisions of any other state or local law regulating construction or the <br />performance of consfruction. That 1 am auihorized by fhe owner of this property to perform the <br />work for wl�ich application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />� ` _s <br />/ J <br />�- %�`�� - / <br />ature <br />REV/SED 08/06/2019 <br />Date <br />FEE <br />� �j� � <br />PERMIT# <br />E ����� �(��� <br />