Laserfiche WebLink
__ _ n .�� .. ` <br /> � , <br /> ,�� � � � , <br /> ELECTRIrAL PERMIT APP�ICATION <br /> CITY OF EVERETT PERMIT SERV(CES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> pPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2.1c�! C�/�; '���- <br /> PROJECT ADDRESS <br /> 2c / 2�2(`�Z <br /> �/J/�i�r�f1 2�oY �/�� ,9v� �e.e7� C4i/� � <br /> Owne� MailAddres City SWle2ip Phone <br /> Tenant r—� MailAddress C0y Slete2ip Phone <br /> L125�l- � <br /> MM �>mfi�c��-�.��-t�m� ��;�3 �l.e�s-t�n st C2� Q m�� �i�52 <br /> Eiedrical ConVador ail Address City Stale2�p Phone <br /> ��"�`"�rn 1 , L` y r �` r, — CoMrad Price of Work <br /> State License N�r <br /> Proposed Use of Building Cantacl Per� n (Plan Review) <br /> Square Footage(If 2sidential new conslruction,remodel or addition) <br /> < / f� f/J S � / � z�,.� s <br /> Description of Wor1c to Be Done: js a � �� ��SS 4 NN� 5 s i� 4- <br /> �sti 2o A.�.a f '{ � � ...r/ -� c� ,4fo.v �n �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREb T0 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. • ��^� A� <br /> !:� � � i <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heruby certily that 1 havo read and examined this application and know fho samo fo bo truo and <br /> correcL A/l provisrons o(laws and ordinances poveming fhis fypo ol work�vill bo,complefed l� � I <br /> whother speci�ed heiern or noL 7he granfing o/a permrt doos not presumo fc givo aufhonty fo �� �� ��1 <br /> violafe or cancel fho pmvisions o/any otherslato orlocal faw regu/afing cronsWdion or the <br /> perlomiance o/const�uction. That 1 am aulhonzed by the ownero(tbis property to pedorm fho <br /> work lor�vbich app6cation is mado and 1 compty wRh tho Slafe Cont2ctors Law 18.27 RCW and <br /> 296200 WAC. �^ -- <br /> �� ��s�� <br /> Si ture Date <br />