Laserfiche WebLink
%O - Il -� �7 <br /> ELECYRICAL PERMIT APPLICATION <br /> C�TY OF EVERETT PERMIT SERVICES <br /> 32t?0 CEDAR STREET, EVERETT, WA 98201 <br /> 4'15-257-8810 - FAX 425-257-5857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � d7 C� Iby 4'Ue 5��:�c 705 <br /> PROJECT ADDRESS <br /> �dfi�4�/YIK�I �� / � �AX S��o7 �lX1aC� G(/A /`8.20(a �RS�^�ZS".Z ^�i'Op <br /> Owner Mail Address City � SlatelZip Phone <br /> f� �i2rG�cnu� ,2�c�7 Cm,'� or.e S�e 70� E�e+Yfh Gda 9�,�z1>>�s�„��g <br /> Tenanl MailAddres City Stale2ip Phone <br /> f�€�na E�Ectr�'< <N� �D Bmx 7g� /hc,,. �wri. u�� Fg.z�o ��a��6S'8 -ofml <br /> ecirical ContraCtor Ma'.i Address City Slale/Zip Phone <br /> �lM EL D 7-7 K I2 '' <br /> /8. o00. <br /> State License Number Co racl Prica ot Work <br /> S�2G� �k192 <br /> Proposed Use of 13uilding Contact Person (Plan Review) <br /> DescriplionofWorktoBoDone: ���'IH.QGT �O rmwe►` �%STI'I,b�cTr�n G(i7iT�' <br /> I NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. —> <br /> � �� — <br /> CITY OF EVERETT LOCAL SALES TAX CODE�5 3105 <br /> I here6y certily fhat I have read and examined fhis applica(ion and kno�v the same!o bo Irue and <br /> correct. All provisions ollaws and ordinances govemmg fhis fype o/�vork will be complefed <br /> whether spealied hemin or not. 1 ho granfing o/a pemid does not p�esume lo give authonty to <br /> violate or car,cellhe provisions ol any ofhersfate orlocallaw regulafing consfruc(ion or Ibe � <br /> peAormance o!consWclion. That 1 am au(horized by Ihe owner o/flvs property M pedorm tha �.�- , <br /> wo�k/or whiclr applicafion is made anA 1 comply wifh the Stato Conlracrors Law 18.27 RCW and . �\ ; ` <br /> 296.200WAC. , � I (,' �- <br /> —�- ' /'r'� —�7 �, <br /> Signaiure Dale <br />