Laserfiche WebLink
-- -- � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT� PERMIT SERVICES <br /> 3200 CEDAR STRf:ET, EVERETT, WA 98201 � `16� / <br /> 425-257-8810 - FAX 425-257-8857 - www.everettwa.org l9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��66 3 � <br /> �a,�,� l � f) �1/ /�v,4� <br /> PROJECT ADDRESS - <br /> h��k I�o,e,2�5 G��i �i9v�i kv Ev�l�rr �,�i4 ye��3 <br /> Owncr Mall Address Clty S1ale!Lp Phonr <br /> Tenan� Mait AdAiess Cily StatelZip Phone <br /> ����� �U /�� ��� �_�� �� <br /> Elecirical Conlraclor Mail Address City Slale�Lp Phonc <br /> Statn Liconse Numbr.r Coniract Price ol Work <br /> i(�S���P.G�= --- <br /> ProposeA Uxe ol�uildinc� CoNacl Person (Plan Rewew) <br /> f)rscription ol Work to�e Dono: �P{'NUVe Ei��Sr��� ��v/t�� �/��L � <br /> _f�i L5 1`l�'L L /�JC G(� L�rt/P1�J�/lt"r o�� /�rf�f� /� ��L L <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIR[D TO FEE <br /> [3C- Itd R�CFWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I he�rb} ���rtdy fhaf 1 h,�r���r�ud;ind ra,�rrunrd fh�s ripphrnfion�nJ kn���s fh�� samc lo be true and <br /> rnnrct �II piov�sions r�l Laws and<ndmancrs�7�'�'�'����ng flus fype ol�sor1� will Ge cornplefed <br /> �:hrfher spec�hed hercin or nof The���anUnn o!a purrnrt Aues not vesume fo give aufhorify fo � <br /> ��olale or cnncel fhe/�rovisiuns o!any ofher stafe or local law�egulating conshucbon or the q <br /> pri/orrnance o�cons(�ucfion. Thaf I Am aufhonz�d by the owner o/this property tn perform Ihr. �l <br /> �tnrk lo� r�!ich�licafion is rnade and I r.ornply wrth fhe Sfate Cenf�ocfors L.aiv 1 A 27 RCW arrd (� U V <br /> 79f 200 WAC. ( � I� <br /> \J ,/ <br /> --��� '��li� --- " " G/l��i <br /> Suinahu�� � Il;flc <br />