Laserfiche WebLink
�t o� � <br /> _ __ __ _ _ __ __ _ <br /> ___ _ � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 <br /> 425257-8810 - FAX42S257-8657-wwweverettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> Z IZ�C Ceo�c.� c�6e�f' <br /> PROJECTADDRESS <br /> y�s) 2�� ��i6 <br /> . <br /> �cz.�o �� _ 2 c2 ��e.,�r S/. �vp�ett L(//-1 A�za r <br /> QWnOf Mad dress City Slnte2D P�one <br /> Tenant 61an AdAmss CAy State2ip Phonc <br /> �1Z�- l- 2� <br /> !-�1��1{�11�_�a�C�.S.-.������� w�c ln��n s�C2r� Q� chC �tFS�62 <br /> Elecirital CoNracior dail Address Gry Stele2ip P�one <br /> 1�lMC.utY1�Yl q?.�C',c� _ <br /> Stale License Num er Conirad Price ol WoM <br /> ��-��'r-�-_ <br /> Proposed Use ol OwlGmg Conlact Pe n (Plan Revicw) <br /> Square Foolage pl residenUal new cunslruclion, remoCel or addi6on) <br /> Descnption of WoAc�o De Done ���(���(�/ _( �/��—� <br /> �����s�__f�/1���-��w�?�----- — <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �/l� <br /> V <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I heraby cortily fhnf 1 haw read and examineAthis applicahon and know fhe snmo fo bo We nnA � �� i�! , 1 �� <br /> corrocG All prov�srons ollaws nnd ordmances govoming fhis type ol work wdl bo complolod �J 1 n ( <br /> whefher specrBoAhe�em o�nof. The g�nnfmg o/a permd does nofp msume fo give aufhonty fo �l' <br /> ��oiareo����,coime piovisionso/anyothersfafeorlocAllawragulafingconsWcfionor(ho <br /> pedonnanco ol consfruchon Thnf 1 am aufhonzed by Iho owner of this property fo pedomr Ihe <br /> work lor whiclr appbcafion�s mTAo anA I comply with(he Sfafe Con(rac(ors Law 18.27 RCW end <br /> 296 200 WAC <br /> � � /�/ / <br /> �9 �� Uale <br />