Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2,57-8810 - FAX 4?_5-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � �� <br /> -, ,�Z,7 G✓ �aJ.,_c- ✓�[� <br /> PROJECiADDRESS <br /> �- `a;� � ✓��a t/ �z�r' ����, }, 1�� >,...f� �L� �s—z�%. <br /> CWnef Mall Address Clly Siate/Zip Phone <br /> Tenanl Mall Adaress City Sta�e2ip Phonc <br /> �1�.• l�s�.f < / �i' 'l r' �cv.��/ - <br /> f_lOClrical Con(raclor Mall Add�ess . , Cily Slale/Zip Pl�one <br /> i <br /> , � ' � ' � OJ!>`1e" -- <br /> Slale Lin�nso Number Contrael Price o(Work <br /> ProposuA Usc ol Build�n�i Contact Porsun (Plan Rovic�ti�) <br /> Description of Work io�c Dona: _��_�e r / �+v r+V-c+'�-'�-�� . /'r/ �-� — <br /> '1 <br /> NOT[. WiRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> �[ I�J RACEWAYS, h�C OR AC CA[3LE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> 1 h��u�by cortrly thal I havo reod nrtAexenuned fhis npplicafion mid kno�s fhe snnie fo be frue end <br /> �:onrct All prorisior ��o!laws anAorJ�nances govrrnin,q this typr o!H�oii� will be cornplefed <br /> n�h��fher spm;iliod he rin o� ��of The granfin[�o!n pannd does nof presur•,i�fo�ire avthorify to <br /> �aolate oi cencel the 110VISIOnS 0I Afy OfhPf SfBfR O/IJf.F11 IAN'IC(JUIn6n,q consfruction oi fhe <br /> pertum�anr,r cl cons�ruction. Thef f Firn fwfho�imA h}�fhe oH�ner o/Ihis preperty to perfunn fhe <br /> �}orX lar wNich.ipplicafian Is made and I cnrnply rvifh Ihe Sfate Confreclors Lew f8.27 RCIa'and <br /> 7Jf 200 bl'AC- <br /> ) — � ' <br /> � '�-�`�7 � � <br /> -- :. . ,_���—:�-� <br /> JS'-iynalure Uate � _ ; , _, <br /> �� , <br />