Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM <br /> ��oi �ro�-Zw�,� <br /> PROJECTADDRE33 <br /> �� 4��� asL . �3as -7�i �'.SL g�Zos �z� < <, ���cv <br /> Owner MaIlA4tlress CMy Sta�eRJp Phona <br /> Tenant MallAdarees Gty SinleZp Phana <br /> �� ��.: (- • �- Sc�� ^"� Llc 1'7(.c.� `6Nfh �1.,., tv� E1(1` �rn. 1vA S�LZT, y2°�' 'Z`1�1 ��t�1� <br /> ElectricalConVaGor MaAnddress Cny Sutel7Jp Phona <br /> 3is���zi (-`,��2� n,c Ic��c, "— <br /> Stete Ucense Number Contred Price o(Work <br /> � '"x54 t�ifu�;',o.-� <br /> Propoaed Use o(Building Contad Person (Plan Rev'iew) <br /> DesaiPGonotWotktoE3eDone: Ir.•,t...�\ v� ,ly ��i«t;o.� M��,S•�a F:��. c.���� <br /> NOTE: WIRING IN NON•DWELUNGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS�106 <br /> 1 hereby cedAy fhet I have iead and oxamined fhis applicafion and know;he same fo be tnie and <br /> -E i c,�v�—���3 <br /> cnrrecL All provisions ollaws and ordinances govemrng fhis type ol wak will be complefed <br /> whofber spoafied herein or not The grantinc o(a permd does nol P,�esumo Po give eufhonty fo <br /> violate orcencel the provisions ol any other stafe or bcallaw regulef ng construdion or the <br /> pedormence o/constiucfion. Thaf 1 am aulhonzed 6y fhe owner o/lhis!noperty fo porform fhe <br /> work/or which applicafion!s made and 1 cnmply with fhe Sfete Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � <br /> ..� / f'/ ��:7 <br /> �'';�'�- .._. -� I�V� ��� <br /> -�'� SIp1191Ure Date <br />