Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � z �3 p.,O <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org L—`��z ,� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���.�(c. � ,� ;;� � <br /> � uZ .�- ��✓C C r{v✓�� c'1 C,l L2. C l/�' � V✓I� <br /> PROJECT ADDRESc <br /> '� �� ciw, L �t�� ,�f�_��� d�L tva,.z.1{ ���117�.�� '��is) Sc► �4i <br /> Owner �J Idail Address City State2ip Phone <br /> L C--�-�--r � � �� , !� 1'-� �,t�C-w >� Sa • �tv-c��r �"W' ��'Y a � � <br /> Tenant Mail Address City SlalelZip Phonc <br /> � � ( � � �`+ k�_c ��c, �i< <1 - � N 4� � � ch yvw.-a 13.t�-�- �-.� <br /> , k� ��.-�, ,--�. �.�� � �� -, -, ( 2°�� 533 - ��33 <br /> f_Ierlrl�nl Conir,�i t.b.d f•dJieu; � City Stat�dZip Phone <br /> (�/3i/�o� l7'2 2 <br /> Slate Liconse Numbei Contract Prico of Work <br /> � A.� <br /> Proposed Use of DuilJing Contacl Person (Plan Review) <br /> Descriplion ol Work to Oo Donn: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED?O F[F <br /> BE IN RACEWAYS, MC OR AC CA13LE. <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cortily fhnf I have reaA and exarnined fhis apl?���+���"��������F�i�ow the same fo bo frue and G, Y .Z �-� +�. <br /> conacL AUprovisions ollaits anAordinances,aovemm�lfiis ppe el nork iti�ill Uo complefed L�, �� <br /> �rhelher specdied hcrein cr noL The gran(ing of a permd Joes not xasumo fo gi��e authonty fo <br /> violafe or cancel fhe provisions el anp olher sfafe or local law reyulaling consfniction or fhe <br /> peAomiance o/conshucfion Thaf 1 am aufhorized by the o�+ner el(his property to peAomi tho <br /> �rork lor ivhich applic�tion is rnade and 1 canply u�ith the State Cenfiadors Laiv 18.27 RCN�end <br /> 29G.200 l4�AC. <br /> � �„ �,n�' _ i � -�--I `� <br /> Si4,n�,�ture oatr, <br />