Laserfiche WebLink
t <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 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> v�x b=_a� 7 <br /> � L,- a---3_�,,, <br /> � `1 l 5" �A � C��-s; .�� vz.a a d z��� �,( Ca=�-�=Ta a- <br /> PROJECT ADDRESS <br /> �Z; `« v3�-�, �jZs 3i �- o�a a <br /> OwnOr � Mall Addresf Ciry State/Zlp Phono <br /> Tenanl MaIIAAdress �Q ///_ �t���Y Slate/Zip 0 Phone <br /> �.l (l' (S �JI` Ll�L)^ <br /> �l`� �- le_cfr�C_�� ISo � le I3� �i�- �' I ,ti ' y`� ( <br /> ElBctdcalCoNreclor MallAddress City � Ll Stale2ipw� Phone <br /> A-L�S T� �03� Z.— 3d�o . �s-� <br /> State LlronsA Number Contract Price ol Work <br /> Proposod Use ol Bullding Conlact Porson (Plan Review) <br /> � <br /> I�_.P_ �.uo��L�L�'�'Q—�� <br /> Descriplion o(Work lo�o Dorio: _ ��I I�CQ � � I��-d ���--I <br /> �i S �'V�dl�-2 r�-ef-�-C��O �S_� ' � ✓1 i -�— <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX.CODE IS 3105 <br /> 1 heroby certily fhnf 1 hnve rund end exentinoA fhis npplicnfion and know fhe sama fo 6e fnie nnA � �� �a � , 3 <br /> corr.:�;f. All provisions o!laws end o�dinances govem/ng fhls fype o!worA wil!bo complefed <br /> whefher specl6ed hereln or not The granfiny of e pornuf does nof �esume fo give aufhonty to <br /> violale�� cencel fhe provisions ol eny othor stofe or locel law ropuPfing consVuchon or fho <br /> peAorr,mnce ol%onstrucfion. Thet 1 em oufhonzeA by fhe o�snor ol fhis property fo perlunn fhe <br /> work lor�rli! plicefion Is made and 1 conrply with tho Sfnte Confrecfors La�v 1827 RCl1'nnA <br /> 29F.20� w . � <br /> �� Z�— G � �� <br /> '��sip�in�urn � na�e <br />