Laserfiche WebLink
ELECTRICAL P�R1�1T APPLI��A���d <br />CITY OF EVERETT PEF�MIT SERVIC�S <br />3200 CEDAR STREET, EVERETi, WA 98201 <br />425-257-8810 - FAX 425-257-8857 -- wvwv.everettwa.or� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO +3 PNF <br />S.2 0 Ll � Gt%t�/N a r-L f Al/� . G vc.�.-� <br />PR0.IECT ADDRESS <br />i� � GGF s Ne v 80 S� ��� �.1 �4►c �vu..�� G.//3 9� Za I yt s•32�- ! 4� <br />OwnBr Maii Address Ciry State2ip Ptrone <br />Tenant Mail Address City Stateftip Pho�e <br />Ct/4i�v%h ��u-�r-� C , 0. QoJt / Q32 /17A�43�%�/l� !,✓A 98't70 �60-bS3• 9y3r <br />EIeCfiCal COM1'dCto� Mail Addrass City StatelLip Phone <br />G��� � 99 re s <br />State License Number <br />S �" R <br />Proposed Use of Buikiing <br />b� <br />/ Z, s'� — <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Oone: ILG�o �� � p Vtr �� �'/H�-�'�'� i� /9 G� Ns � Q4 �-�- <br />N��✓ %do� J!/'VL�.IrL <br />NOTE: WIRING IN NON-DWELLENGS IS REQU(RED TO <br />BE IN RACEWAYS, MC OR AC CASLE. <br />CITY OF EVERETt LOCAL SALES TAX CODE IS 3'f06 <br />1 hereby certify that / have read and examined this applicatron and know the same fo be true and <br />correct. All pmvisions of laws and orclinances goveminq this type of work will be c�omp/eted <br />whetherspecified here�n o� not. The granfmg of a parmif does not presume io give acrthority to <br />vio/ate orcancel the provisions of any ofher stafe or local law regulating construction or the <br />perf�rnteRC9 of COnsiruction. Thaf l am authorized by the owner of this� roperty to perform the <br />work fnr which �applica6on is made and 1 comply wifh ihe State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />FEE <br />C���� � ��� <br />T00/T00 � �NI ,LN� KIA2IH9 SE�6E9909E Z�d 05�TT TTOZ/60/60 <br />7 <br />