Laserfiche WebLink
�I - i��--o6 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVECES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROh18 AM TO 4 PM <br /> � 707 C����� Av�e . <br /> PROJECT ADDRESS <br /> C,,,��r��- �,�-:�r�sf � c� ���k 97��� ,���,���«�J 1�1� 98073 <br /> Ow�18f MailAddtess City Stnte/Zip Phone <br /> TenBrll MailAddress City Slate2ip Phone <br /> �x�0e,�f � lecf�, c_ �(v�`7/�ac�ck'i✓e %cu+�rwltl/� Z�3Y7/loo�j <br /> EIOCInca CoNfaClOf A�nil Address City State/Zip Phone <br /> �k�E2rSnr� � t�= .�yo ��, �'� <br /> , <br /> Stale License Number Co�n/1recl P�ce of Work <br /> � ^PN UQGt•`t' <br /> C �ll S': �� ZS 3c,��� �;e.3o <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> �esuiption of Work to Be Done: �C� G� ��C�` ' S ���✓ �%E�✓t Y ( 7'U l � �� � <br /> ce �� s ; �� C'�v�/.J��r�a-{— <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i hereby certiy fhaf(have road and examineAfhis application and know fhe rame fo be frue and <br /> correcL All provisions oflews and oMmanr.es goveming Ih�s type ol work wilf be completed <br /> whofher speC�od herein or not Th.e�ranting o!a pemid does not presume fo give authanty fo <br /> violafe or cancel the piovisions o/ony othar s�nte orlocal lew regulating conslrucfion or the <br /> pedormance of conslruchon. That 1 am au(honzed by(he owner o(fhis propeAy to peAorm the <br /> work lor which epplica�ion is made and I comply wifh Ihe Stale Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��G'(J� �,'��.�—� �-�Z - � �% C��(a0y- d$�` <br /> SlgnaNre Dele <br /> S�S�'ecl��cti o�n f=���!•-y `��y�oG G�.�e L� �� 7011 <br /> �� 1Z �o <br />