Laserfiche WebLink
_ _ --, <br /> ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /2..017 '�2 <br /> I 425-251-8810 - FAX 425-257•8857—ewvw.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FFOM 8 AM TO 4 PM <br /> G12�'z—�5 � <br /> IZ17 bak�v- �'�-��a YRaol <br /> PROJECTADDRESS <br /> / ,,.__f �� }� l �O�f G.S�+av�e. �}c�G �Gva�ft L✓, 98�0/ <br /> +�+���-- M� City Slalellip Phone <br /> Owner <br /> Tenant <br /> MailAddress City StatelZip Phonc <br /> l � ��Se /^/���� LLL 1'"'�,�.1_w(.�A . Q 7.� �.���$ <br /> Eledrical Contractor <br /> MailA.ddress Gty StafelZip Phone <br /> � C'C'C: . p�� <br /> �,n„r� «� 9�3 �� Contract Prica of Work <br /> Stale License Number <br /> V�S,�s ��+ I =.,�.��— ��ntact Person (Plan Review) <br /> Proposed Use ef Build�ng <br /> � g,0 C) <br /> Square Footage Q�residential new consiruction, remodel or addilion) <br /> Descriplion of Work to I3e Done: �e —l2daa.� �1�<�1 C (��� _—��=1'—�,� � <br /> � - <br /> --� <br /> NOT[: WIRING IN NON-DW[LLINGS IS REQUIRED TO FEE <br /> [3E IN RACEWAYS, MC OR AC CABLE. `.� ' �rl G, �, <br /> �r� <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 310:i <br /> !!,_-•-+h��^r�f��v�����I ��%3ve•^-�d and examired fhis applicafian and know fho same fa 6e true and {�' (�1�_ � S� <br /> Icorrect. All pravisimts o//m•+s and ordinances yoveming lhis typo ol�vork will bo.complofed 1� i <br /> �vhclhr.r specilir.d hciein ornoL Tho yr��ifiny o/a pennd Joes not reswno to grva aufhonty lo <br /> viola(o or cancel fhe prov�sio s ol a y otF,er slafo or/ocallaw regvPfing cons�ruchon or(ho <br /> perfonnanco oI consliuclion. Thaf m aufhonzed by fho awnerolfhisp roperfy fo pedorm Iho <br /> wo for�vhich appli is iade d I comply�vilh fha Stafe Conhac(ors Law 18.27 RCW and <br /> 0 WA <br /> -- �--- Dal�� �^1 -- <br /> i s�ua�'.ure <br />