Laserfiche WebLink
i <br /> ELECTRICAL �ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (,� �-1 3 -� Gj <br /> 425-257-A810 - FAX 425-257-8857 - www.evereltwa.org ��g� _D�� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �9�/OJ� 3�� Gu���l�D �#� � .�' /, �.�Sl� 3 <br /> P OJECT ADDRESS <br /> ` <br /> Owner Mail Addiess Cily SlatelLp Phone <br /> TOnTnI AY,�iI AAAress GI; SIa�c2ip Phonc <br /> �-�� __����"�--- �1�vluf--�9���� <br /> EleCtfle.tl l;onlr;lGuf Idail AilJinse. Cily Slale'Zip Phone <br /> � ��� <br /> Slalo License Numlrcr Contrar.l Pricc of 1NorM. <br /> S7F�� �'��L� <br /> Propnsud Us�of �uildin9 CoM�cl Person (�'lan Rc��iew) <br /> Descriplion ol Work lo �e Dune. ( l�[��Yh ���"l'— ��""r� `f' ���'" � <br /> ��'!L'�_�rr/V��f—'�—'--��e'_�". _^'��� <br /> NOTE WIRING IN NON-DWELLIIJGS IS REQUIRED TO FEE <br /> F3E IN RACEWAYS, MC OR AC CABLE <br /> C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 herehy r.ertdy fhaf 1 Irarr, reaAand exornined fhis npp6cnfion and know fhe same fo be true and <br /> coner.f All pwvisions of laws nnd o�dmences goveming Ihis type el�rork will bo complefed <br /> whethor spocilied herein or nof rhe yrnntmg o/fl perrnrf Aoes nol uesume fo gi��e aulhonly N <br /> violate or cancel fhe 1�ro��isions ol any ofhw sfnte or locel lAw regulafing construc6on or fhe <br /> peAorniance o!consi�ucfion. Thef I am nuthonred by fhe owner o!fhis propeAy to perlomi fhe <br /> work lo �hich apphcefion is maAe and 1 comply with fhe Stefe Crnfracfors Lew 18.27 RCW and <br /> 79G.2 AC. <br /> � � <br /> � <br /> Signatwe —__-- _— Uale t �`I V�� (7y' <br />