Laserfiche WebLink
— ( (. -- - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-?57-8810 - FAX 425-257-8857–www.everettwa.org 1 I�� � Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �)20� – O� <br /> 38091iruadevy,F.r errlt,\1'A 98201 <br /> PROJECT ADDRESS <br /> cN.r.r:��s u�i,�.c �s2v�:uc�k,���a�oo.r t�atrr.�vn vx:m <br /> O�ddnef Mail Address City State2ip Phone <br /> tiocinl Security Adminizlrnlion 3N0')13rnndwn��,E��crcH,��':1 98201 <br /> Tenant f�lail Address Ciry Slale2ip Phone <br /> Iteatlnmsfrr Co. P.O.Boz 1268,Cm•nation,\V.19801�•1268 �15•RAS-32i7 <br /> Electrical Contractor tdail Address City Stale/Zip Phone <br /> m•::��i'rc•on�u,� Z SSG; ��V <br /> State License Number C nlract Prir,e of Work <br /> Ulrce Tum T1cClnsker or Richerd Sinnemx <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ��ul•V�6fAti� <br /> 1U''/, / <br /> Description of Work lo Be Done: '" � ��u ��� '�N�� e,y�-c+�5 �0�. �1 '�+✓ �/H�-t5 <br /> aHb ��o� �ahfy <br /> NOTE: WIRING IN NON•UWELLINGS IS REQUIRED TO FEE O �J <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> 1 hereby certily that I have read ai�d exanmied this application and kno�v(he same(o be true and �I�I _ � <br /> correct. All provisions o/la�vs and ordmances governuig this type o(�vork tvill be completed �� <br /> n�hether specilied herem or not The grantmg ol a pennd does not presume to give author�ty to <br /> viola[e or cancei the provisiau ol any other state or local law�regulating construction or the <br /> per/onnance o/construc6cn. That I am aufhonzed by the owner of this propert�to perioim the <br /> ivork for ia�hich application is made and 1 cornply wifh fhe Stafe Contracto�s Law 1827 RCW and I <br /> 296.200 INAC. ; <br /> � ` ` • �— 25— (Z � <br /> ignaWre Date �� <br />