Laserfiche WebLink
�v -�4-vf� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—mvw.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED Ff20M 8 AM TO 4 PM <br /> 7 3 3 e h� r��� eve��r�- �,���, �8av � <br /> PROJECT ADDRESS <br /> Owner Mail Addmss City Stale2lp Phone <br /> Tenanl MailAddress Cily Stale2ip Phone <br /> .ZOG S�6 S'43 9 <br /> ���['{�f/c S�,e�.cPs /w� /StiDD NGBd'S7�i/�/ /4e//Pdve l��DO� <br /> Eleclrical Contraclor Mail Address Cily State/Zip Phone <br /> /J� Jh�. /=$ �l 57 cT I '$��� <br /> State License NumUer Contract F'rice of Work <br /> �e..��.�oeie e?o 6 �83�/`/,�Z6 <br /> Proposed Uso ot Building Conlac erson (Plan Review� <br /> Desciiption of Work to�e Done: /`e. f�r�%1/�-I�`� bL�2�/� I'P ���i"�� /—/�' P <br /> /Uo ,/7�/4r � 7'��<Ec!-'�['i�,s�- � �Sc�f�LC�" <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Ifrat I 6sve read�nd examined thrs applicalion and know fhe same fo be fruo and <br /> conect A/l provisions ol laws and ordinancas goveming th�s type ol work will be completed <br /> whether speciGed herein or nof. The granfing o!e pemut does nof resumo fo givo authonry to <br /> violafe or cancel the I�rovisions oI any other stale or Iocal!aw re�uPting consWction or the <br /> perlortnance o(consfruction. That!am authonzed by fhe owner o/fh�s property ro peAomi Ihe <br /> �vork lor which application is made and 1 cornply with the Stafe Contracfors Low 18.27 RCW and <br /> 29G.200 WAC. <br /> � �/1 <br /> � �fJ. �.��m� /Di:zy/�G ' <br /> Signalure �- ate �I L <br />