Laserfiche WebLink
�I — � —o� <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 /> ��C �i �: CtS� ��Ct�,�1C l'c� , �li�i c 1-� <br /> PROJECT ADDRESS <br /> �-��1Ck ,Ijll' ��1Fr � � �{1�'� fl,IC11(,�1,��C _ <br /> Owncr Mail Address City Slate/Lp Phone <br /> Tonanl Mall Address Clly Stale2lp Phone <br /> 3l't� <br /> �I.�I�In��� y� lECiilC ��li�C �l�C�� �l�fS11J��� S1(,llll�Yrk�, �i�A ����la ��gc� - 94.�1 <br /> Eloctrical Cuntraclor ldail A9dress Cily Slale/Zip Phone <br /> `aal»Illlf If:C�� 1 ��,� �n � - — <br /> State Licenso Number � Coniract Prico of Work <br /> �,���� 5����c�lC .I������ I�� l �� s�c.�<�ncc Scr I 41�c�c1� <br /> Pro{wseJ Usc o�l3uilding , �� Contacl Person (Plan Review) <br /> Doscriplianof Work lo�e Done: �I��IG�' I U 11 ?I�r-� �ie a� k����� ��1 iZ'� '��I�L� �C.. <br /> -(r,i��,I YC �Ft� ;_, � <br /> NOT[ W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> f3G IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALFS TAX CODE IS 3105 <br /> 1 hereby certify fhal I ha�e reoAnnd exnmin�d fhis applic�hon and Wiow tho same to be tn�e r�nd <br /> conect. All p�ovisiuns o!lews and ordinances florermng Nris f��pe al woik wdl be cornpleled <br /> n�hethc�sper.iBcrd he�ein or nnL The�ranGny ol a perrm(Aoes nof �resume to�ive nufhority to <br /> riolnfe ui cancel lhr,`novisiens ol any ofher sfafe or locnl law regul�ting constn�cfion or(he <br /> pe�lonnence nl consfiucfioa Th�af 1 am a�dhon�r.d 6y fhe ownor ol llus proporfy fo porfami fhe <br /> work!ur�rhich applir�fion is made miA 1 conrply with fhe Sfafe Conf�acfors Law f8.27 RCW anA <br /> 2ys.zoo wac. <br /> ����-�. <br /> � ^ <br /> �, ,t �.;�. �., I'� ,,��i ,_ „�� (� �- <br /> Siaitiitu,a oat <br /> �U;; I( -U7 3 <br />