Laserfiche WebLink
ELECTRICA� PERMIT APPLI�ATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVFRETT. WA 98201 <br />425• 257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROPA 8 AM TO 4 PM <br />�r���(n .`,7�-�^ � i :�C <br />PROJECT ADDRESS <br />..._. �'')�; i1 � C_ <br />Owner <br />Tenanl <br />i,�`�"� 1!-::if� i �. ;'. i"�"� - <br />Mail Address <br />Mail Address <br />Z-- � -r <br />���' �/(n`- <br />Cily <br />Cily <br />. � }� <br />, :.�_ <br />State/Zip <br />SWIe/Zip <br />Phone <br />Phone <br />- r;��;- � f!1:::-I( �' r lv 1��� i�:�X o� 7�0 C fi ^(;��-i 3 <br />ElectriCal ConVaclor Mail Address Cily StatelZip Phone <br />_r7c:��,i..�,. �"=�/ <br />Stale License Number <br />Proposeu Use o( <br />/�(���— <br />Contracl Price of Work <br />ConlactPerson (Plan Revicw) <br />Descriplion o( Wark to Be Done: i I-i ��i�`^ n_."i M� �(�1�i /1��� <br />NOTE: W IRING IN NON-DNlELLINGS IS RECUIRED TO <br />B[ IN RACEWAYS, MC GR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby cerfily fha(1 have read and examined this application and know the same fo be (rue and <br />correcL All provrsions o(laws and ordinances govermng this type ol work will be completed <br />whe'her speci6ed herein or rroL The �ranting of a pernut does nol presume to give authonty to <br />violate or cance; the provisions ol any other state or local la�r regulating construction or the <br />performance o! cunstniction. That I am authonzed by fhe owner of fhis property to pedorm fhe <br />wori< lor which application is made and I comply with the State Confractors Law 1827 RC W and <br />296.200 WAC. � � � � <br />s - �>. _ / / : � ! <br />� -' ,�,�,: . /�/�. �. . �j i / � �.�, <br />� <br />FEE <br />� <br />Ec���; �-��'y <br />