Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVlCES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX 42�-257-8857 - www.everetiwa.org <br /> APPLICATIONS AR[ACCEPTED FROM 8 AM TO 4 PM <br /> L2U� C����� <br /> PROJECT ADDRESS <br /> � <br /> -�-��-�t���- ------- - ----- - <br /> Owner M:ul AAdress Cdy Stale.Zip Phone <br /> TCnIN P.1adAddre55 ���'���Cd� "�'��� tilale2ip PhOnr <br /> �NV�'� tI-L-CZP-�c�7.S�/�W� �_/_/�D/�124�---�"_�� 2� 232 �'s <br /> / � <br /> ElectricalContraclor t.lmind�i��•�; c�i, S�:ve�Lp Pi�one <br /> st U rJr,.E�.��'o��- <br /> Slalr, Licr.nse Ni.rnbor 'lunV�v.t Price of Work <br /> ProposcA Use ol Duilding Cunlacl Person (Plan Review) <br /> Descri�lion of Work la Bc Done: �{��L K- / a�� 1� -X�/'�,2 " C"CL� �f�l <br /> NGT[ WIRING IN NON-DW[LLI��I,5 IS RE�UIRf_D IO FEE <br /> [�F IN R�CEIVAYS, M11C OR AC CA�LE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I h��rrhy �rrfrl} Iha!1 h,�co r��uJ nrid��.r.�mincr fhis npph�.�hon end kn�w Ihe s�nie to bo frue und :"���_ (,, <br /> n v�r�:f All prowe,i�>ns id Id�ts+�nd ord�nances gnrr�nrng this fype ol work�tidl be conrplefed � � • , <br /> whefhe�sper,iGnU hrne�n or nul. The�rantirr�ul a perrnd does nnf Inasurne fo give authorlty fo ' <br /> wolafe or cencel fhn llJVI510115 0/A/ly OOIFI Sl7(P 0/ IOCBI IAW If!(JIll�6ng r.onstruclion or Ibe <br /> pedonnence ol cons�rudion Thnt 1 arrr aulhonl�Aby fhe otiner ol fhis p�operty to perlorrn the <br /> work lor whi•l;npp6cabori is rnade and I cornply wifh Ihe Sfat�Confrecfurs Lew 18 27 RCW and <br /> 29G 70Q W . <br /> / -/ <br /> - -'`•-�-" �, -��----- ' "/� � `i,� ��� <br /> Signalu �� � Date� -- '-- <br />