Laserfiche WebLink
253-981-9596 Llne 1 ( <br /> O7�.SA�73 09-76-2017 2�6 <br /> 1 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 G� �a b _, z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org ,l <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM U���9 —� �v <br /> ('��o� � � �.. �an � 1�.� , ��a �2d� <br /> PROJECTADDRESS 4a� 3 <br /> O 11.�� ��`��oD <br /> OwnB� Mail Atldress Cfly Sinle21p Phone <br /> ,nen� ��� l �� �Ity Slata2ip ��P�Q � <br /> Comm�.��aa�a�u Pc�-�e- S a� �rn��'� 1,�7� q$D3a. lptoo <br /> [leclriCel Conlretfor IAell Address Cily Stale2lp Phona <br /> 'P�zC'.l�S�-R�or�C.. � �D'1 ' °`� <br /> Slete License Number Conlracl Pdce of Work <br /> �— � <br /> �a�rn��. <br /> Proposed Use ol6uilding ontact P�� �lan Review) <br /> Descripqon o1 Work to 6o Done: ��1 I O��_ g �S �r� <br /> � � � �oao) <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS RFQUIRED TO F[E <br /> 5E IN RACEWAYS, MC OR�C CABLE. /---'O <br /> �_� ._�. <br /> CITY OF EVERETT LOCAL SALES TAX COOE 13 3105 <br /> I hereAy certily fhnf I heve read end examined this application and know tho seme fo be true and �! ' <br /> correcL All piovisions o(laws and ordinencos gnverninq fhls fype ol work will be,complofed �I���'�v <br /> wlrefher specihed herein or not. The granting o/a permif does nof prosume fo�me aufhonty to <br /> violafe or cancel fhe vovlslons ol nny ofher sfate orlocal law regulafing consfroction oi fho <br /> peAo�mnnce o!consfrucfion. Thet I em autl�onzod Gy fhe ownor of fhis piope+�ty ta peAorm Ihe <br /> woik/nr wh�r.h applicafion is made and 1 comply with fho Staro Confractors Law 78.27 RCW and <br /> 296.200 WAC. . <br /> �l __�U� � � � Z <br /> ia�,Tw« �— _ <br /> �- - -- _ <br /> —._ _— - —__._ _� <br />