Laserfiche WebLink
� ���M���� <br /> DNQy�� <br /> ELECTRICAL PERMIT APPLICATIaN zo� <br /> CITY OF EVERETT PERM17 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 /> 1321 Colby Ave. Everett, WA 98201 <br /> PROJECT ADDRES$ <br /> Providence 1321 Colby Ave. Everett WA 98201 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant Mail Address Gity : StaielZip Phone <br /> Pacific Communications Cabling 10604 E. Riverside Dr. Bothel� WA 980'i 1 425-483-5957 <br /> Electrical Col�tractor Mail Address CiEy StatelZip Phone <br /> PACIFCC910L5 �����Gj� 30L000 <br /> State License Number. Contract Price of Work <br /> Proposed tJse o#Building Contact Person (Plan Review) <br /> Description of Work to Be Done: Nurse Call lnfrastructure�n 6A and 7A �*Please nate on permit: #27211** <br /> NOTE: WIRING IN N�N-DWELLfNGS iS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ��� (5� <br /> C1TY OF EVERETT L.00AL SALES TAX CODE!S 3105 1 <br /> !hereby certify fhat 1 havs read and examined this applicafion and know the same to be true and � I�' I�, ��� <br /> correct. AN pravisions oflaws and ordrnances govemin�this type of wor�c wil!be completed <br /> whether specifred herein or not. The grantrng of a permrt does not presume to give authority fo <br /> vio�ate or cancel the�rovisions of any other state or local!aw regufating consfruction ar fhe <br /> performancg of cons ructian. Thaf l am authorized by the owner of fhis property to perform the <br /> wo�t for which appJicafion is made and 1 comply wrth the State Contractors Law 18_27 RCW and <br /> 296.200 WAG. , <br /> f <br /> i <br /> ) � 19l25/15 � <br /> - - _.�._..�...Si re�__..�. _..._._._. Date_._..�___.�.�.� .._.�_.� ._.......... �.._.�._._._....�_.._ �_ <br />