Laserfiche WebLink
I � <br /> i <br /> ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES �o�o �, � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www.evereltwa.org C 0�0 Q`U�� <br /> APPLICATION8 ARE ACCEPTED FROM 8 AM TO 1 PM <br /> 7��.�n r�-�I- �l U� �� � <br /> PROJECT ADDRESS <br /> _)f�CG>����Qrl_��S 2�21 �kj[�Ni��� ���L�tL- � 1�� �L�ZO� <br /> pwne� Mall Addresa Gty Slate2lp Phone <br /> Tenent Mall Addresa Cily StalelLp Phone <br /> —LL18Ll,'„ - <br /> Eleclrlcal Contraclor Mall Address Clty Slale2lp Phone <br /> Slete Llcense Number Contract Pnce o(Work <br /> Prt�posed Use of Bullding Contact Person (Plan Revlew) <br /> Descripllon ot Work lo Bo Dono: LJ�, c- ; n!Cc C��_�S�, � '��.C d rJ 'C7 <br /> � � "C�! ��-0. (�� ��\�1 I .i 1] � QL`4�c�1G1AJ <br /> NOTE: WIRIN� IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN FtACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE9 TAX CODE IS 3705 —� �v(/ G/�� <br /> I heroby cenily fhaf 1 have read and exemined fbls eppllcetfon end know the seme fo be frue end t� � d — 'Y <br /> carecf. All provlslons ollews and ordfnances poveminq fhls type ol work will be completed <br /> whefher specffled hereln or nof. The granfing ol a permd does not presume fo plve eufhoNty to <br /> vlolafe or cancel fhe provlslons ol eny ofher state o�locel law repulefing consfrucflon a fhe <br /> peAorma.ce ol constructlon. Thet I am euthodzed 6y fhe owner o/thls property to pedorm fhe <br /> work/or wh7ch apollcefion!s made end 1 comply wltlr fhe State Contrectors Lew 18.27 RCW end <br /> 296.TOO WAC. <br /> C����c� ,�c�� . �> I � I ��� <br /> Sipn lur �— ate <br />