Laserfiche WebLink
- � <br /> 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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � :� I � C �a � � A D C D �Z <br /> PROJECT ADDRESS <br /> 35 :- 3503 <br /> ii� � Lc - _ � a � �_ cnsc ��ti_L_Dk � � �� r- r�� i� ��; n- �1 &ao� <br /> Owner Mail Address City Slate/Zip Phone <br /> Tenan� —�. . . M11ail�ddress Cily�_— SlalelZip Phone <br /> 3 S"S- s'a ( c' <br /> /Ipv.ln,�C"i) ENECb �/ C -� ; Fy�C ic�i1� /�luK�l�cC '�r��.'Pa�.94iµiiU /1JUKic�( /N yy.�7r <br /> Eleclrical Contraclor Mail Address Cily SlatelZip phone <br /> A D �iN til�_S_ i b I i' (3 �' ..� SOO ec� <br /> Slale License Number Coniracl Price ol'Nork <br /> � C � � Dt ._�� io� � <br /> Proposed Use ol l3uildinp Contact Person (Plan Review) <br /> Descriplion of Work to Bo Done: �t�N N C L__�,.j 1 f1 N ( F I 1 S H M t <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIREII TO FEE <br /> E3E IN RACEWAYS, MC OR AC CABLE. �� — <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certd}�thal I have iead anAexamined fhis applicaf�ori and knoK�the same fo bc tn�e and <br /> cone�:l All provisions ollaws and o�Ainances�overninq fhis type ol work will Ge cornp/efeA <br /> whcfher specilied herein o�noL The�ranling ol n pernut does not vesume fo give authority lo <br /> ��iolafe or r,ancel the/�rovisions ol ony ofher sfale or local law regula0ng conshucfion or the <br /> pe�forrnance ol construcfion. Thaf 1 am nuflrorired by(he oKvier ol lhis p�operty fo perlonn the <br /> �torp lor wlrich applicntion is rnade nnd 1 comp/y wifh the State Confracfors Lnw 1827 RCW and <br /> ?9f.700 WAC. <br /> %� � � ' � � �o -i8 - o r � � �i <br /> --- --�—`'1�i � i <br /> Signawre Dale �^/ <br /> �rl , 1 <br /> V <br />