Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8d57 –www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /�.J w'vt- O — 2-'� 7 <br /> �--�;�—L,- a-3 �—� <br /> � `1 l 5_ ,� , , C�s; .-�� vza o- d ��-�' e �,( ��� -,- � - � a �- <br /> PROJECT ADDRESS <br /> ✓Z: �« �3e.�-� �'�Z-S 3 � k- o�a a <br /> f`wnor Nail Address Clly Slate'Zlp Phone <br /> A1ail Address f�ily Stala/Zlp � Phone <br /> Ten�nl �� ���4 l�u 3� Ll7 LI^ <br /> 1 4�1 <br /> Q-G l 4-b��� �'_ I e clr�L �.c- L5 0 � z lo (5-►- ,4-v.e_ I�I�- �}✓ I ,tic1L,., ( <br /> Eleclrical CoMraclor Mail Address City � �l StaterZip�� <br /> �� C S T�L- C�o � � Z_- — 3 d o o c37 <br /> Slato Lir.onso Number Con�rar,l Price ol Work <br /> Proposed Uso of Buildinc� Conlacl Porson (Plan Review) <br /> �� �.uo�IL�L �'�–C–O"¢–�ti / <br /> Descriptiun of Work ta�A Done: V� I�C-Q � � I��-�-�1 �`�-�—I <br /> �i S '�L>1�-2._ l ��Pf-�L�G � S �G� � ✓1 i -f— <br /> � <br /> NOTE: WIRINCi IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABL[ <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> 1 hr.ioby certily�flraf I hnve read rmA exnmineA lhis applictition enAknow fhe samo to be true end � ��� I � _ �� ,� <br /> corre�t. �II p!ovis�ons ol lews and orAinences go��erning this�,pe ol worh will Ge complofed <br /> K�hefher specJied hereii. or nof The granhn[�c�e penmt does noll�resume fo give aulhonty fo <br /> violnte oi cancel fhe!�rovislons o!nny olher sfefe or locel law regu eting consfniction or the <br /> pe�lorrnance ol ronstniclion. Thaf 1 am authorizeA by fhe oKne� o/fhis property f� perfonn f�ie <br /> w�ork !or whic �plicalion is ntade and 1 cornply with fhe Stnfe Confrecfors Lew f8.27 RCW and <br /> 29fi 100 lM1� ��\ ��//� J <br /> � � /� <br /> , �\ � , �U � <br /> i ,,. �p, ' . `_._.. <br /> ,�--�� ----.._`.�--- ' <br /> t,�u��a!u��. � i --- Uat� <br />