Laserfiche WebLink
• <br />� <br />ELECTRICA�. PEi���T APPLICATION <br />CI'TY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - �AX 425-257-8857 — www.everetfwa_arg <br />APPLfCAT10PIS ARE ACCEPiED FROM 8 AM TO 4 PM <br />�TD�-- �� U k-�c�l CUc� U � I;�r� <-l%�-- <br />PROJECT ADDRESS �� y <br />Owner <br />Tenant <br />Mail Address <br />} ca:%c� �� 4�1� i �_Y1. �.L <br />Mail Address <br />�.�'rYl6'YtU�ff�_ml��.9u< < )�nN .. <br />Eiectrical Contractor Mall Address <br />`��►4�►o�t ��Xo�� <br />5tate License Nurnber <br />��.ylE'E'{�,�`�f c`d.� �i��`C�� <br />Proposed Use af Building <br />City <br />Clty <br />��� <br />State/Zip <br />J►�- <br />Stat�lZlp <br />- t.rJl/� � <br />Phone <br />Phone <br />Clry �tate/'Lip Phone <br />y��--�-(� - � <br />on <br />� .� <br />Contract Price of Work <br />L.(=CN'VV'�./� G7�t�,1�..Qti,i <br />Contack Person (Plan Review) �- <br />bescripYion of Work to Be Done: ��L�� ��Q'�fc�t 6�l- �(9�?itvYr U vr,'cr.�.'��,'a,� �R �-j�,�.� <br />� lQ. �(�� ��dd'a� � <br />NOTE: WIRI�G lN NON-L�W�LLINGS IS REQU[RED TO FEE <br />BE IN RAC�WAYS, MC OR AC CABLE . �� C, � <br />CITY OF EVERETT LDCAL SALES TAX CODE IS 3105 <br />I hereby certify thai.l have read and examJned fhls appllcetion and know the same to be true end <br />correct. Al! provisrons of laws and ordlnances g�veming this type of worfs w1N be complat�d <br />whetHer spec/fled herein or not. The gr�nting of a perm�t does not presuma to give authonty to <br />violate o� cance! th� provisions oi any other stale or toce! !aw regulating consfruction or the <br />performance of constructfon. That 1 am authonzed by the owner of tn�s property tQ perform fhe <br />urork for which spplfc&tion is �»ade and 1 comp/y with fhe Stafe Contractors Law 98.27 RCW end <br />� <br />�f3��— ��� <br />alloth�dza b06��zti5zti ti5��i �IaZl6Z/ZT <br />b <br />