Laserfiche WebLink
,� <br /> � <br /> ��', ELECTRICAL PERMIT APPLIC��TION <br />,-�,�``'� CITY OF EVERETT PERMIT SERVICE:i ; <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � <br /> 425-257-8810 - FAX 425-257-8857 —wv�nv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM � `0 6 �� <br /> �09�1--o r� i <br />• - � � �01 �1-� �. 5i ��.UN2F -H `'� �f�01 i <br />;�, PROJECT ADDRESS <br />�;'` � — - <br /> i-,�c-'�i�c :�o� �iSC����l� ��OI �i�o* s � � .i;�er1-{ �.1i4 °IF1101 <br /> (;wner Mail Address Ciry State/Zip Phone <br /> Tenanl MailAddress � City State/Zip Phone � <br /> I <br /> � ff � � � Pn��iC �� 3oX �yl�. 1�/'rf11-U15VIIIE. � i � �Y��O 36U-l�J�� • 13i�11 <br /> Electrical Contrector Maii qddress Ciry S�aie�zip Phone II <br /> i <br /> 2 5 P LP ��� �� .�2 (', Z <br /> State Liccr.se Number Contracl Price of Work <br /> I <br /> Proposed Use o(Buildin� Contact Person (Pian Review) I <br /> Desr,riplion of Work to Be Done: /t L��� S Ol(ZCU��-S 1'L�� �1� � R l U � � �1 �_ I <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE I <br /> �Y BE IN RF�CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily fhat 1 have read and exarnined this application and know fhe sarne to be true and <br /> correc'. All provisions ollaws and ordinances go��ernin,q(h�s type :,.`work�vill be complt;eJ <br /> whether speci6ed herein or noL The granfing oI a peimd do��not resume to give aufhonty to <br /> violate or cancel the provisions of any ofher state or local I�w reguPting constrirlion or the <br /> peAormance oI construclion. That 1 am authorized by Ihe owner of this property to perlorm the <br /> �vork lor which appl'cation is made and f conrply�vilh the State Contracfors Law 18.27 RCW and <br /> 296.200 WAC. �� <br /> C �� � <br /> � � �zc I — l�-0`1 � <br /> , ature Dafe <br /> � <br />�.;,�.. "____ ...._�...- .- �.� .. ..:.... ..._ :.9 <br /> .- � � .. . � . 5`�' .� �� <br /> . .. . �'. � "^:: T.t � <br /> � <br /> -. ... .. . -. ». � . . . �. �.�. . , <br /> .. . _ _ .. . u�.�� �'.� . 'J� `�..5_ <br /> ._ .- _- -�_. � �. _ �...-s._.�_. .__. - .. . .-a.� - <br />