Laserfiche WebLink
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 /> 2� l� CP��-� S f�e e �� <br /> PROJECT ADDRESS <br /> � ( .�z,- <br /> GUr (--� y C�'I' Z6I�l C Pal�r S�'PP�' E�P�`C.� (n� �j S2�I 3�l5 - 70/�/ <br /> o�rP����t �QI� �1ailAddress City Slate/Zip Phone <br /> 7�e <br /> 5�4�1F_ <br /> Tenan; Mail Address City SlalelZip Phone <br /> [Iectncal Contrar.tor Mail�ddress City State/Zip Phone <br /> Slate Liwnse Num6er 2�v 4� �/ // Coniract Pri e ol Work <br /> /J, <br /> T��,avp �o�.JP r 1�'"1I � �IC�C ("�� <br /> ! <br /> Proposed Us^of Building Contact Porson (Plan Roviow) ', <br /> Description o(Work lo Bo Done: TP✓`�� 2UV �'�^'� v�� <br /> NOTF. WIRIfJG IN NON-DW[LLINGb IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hrreb}�certily Ihat I have read�nd mamnrrAtlus npplrcafion ond know fhe seme to be true nnd <br /> conect. All provis�ons a!lmrs anAordinnnces,qovernin�fhis type ol work will be complefod <br /> nhefhei speciGed herein or noL The,qranting o/n pennd does nof!�resume fo c�ive aufhority fo <br /> wolale or cancel fhe tvowsions ol nny ofher sfafe oi local law ra�ulafing construction ur fhe <br /> performance ol consfiu o�. Thaf 1 nm euthol eAby fhe owner ollhis piuperty to perlom�Ihe <br /> work Por which nppbc on d rnnAe nnC 1 cot+'IPI�wdh tho Sfnfe Cunfracfors Law itl.27 RCW and <br /> 206 700'�V�. � � i <br /> % / / <br /> � _ � <br /> 1/ , - z �j-Z vos� ///��� <br /> Signalwe Date I �� / <br /> ���, � <br />