Laserfiche WebLink
ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (�_a.q�- `v� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> C—�bob-�q6 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �I y Co�Q� Aue <br /> PROJECT ADDRESS <br /> Ser'GeY344-5��7 <br /> FGM C�.��h �8r4 �c�� A�e ���r.� �� ��o� C4��J� <br /> Ownet Mall Address Ciry State/Zip Phone <br /> SaMP a� aN m�N.�r° <br /> Tenanl Mail Address City State/Zip Phone <br /> �b1�N e�' ,St�rre �S aaov-e <br /> Eledrical Contraclor Mail Address City Stale/Zip Phone <br /> �U� <br /> Stale License Number Contract Price of Work <br /> Se�ev �a/il�ov(4 445 13 <br /> Proposed Use of Buildinc� Conlacl Person (Plan Review) <br /> Description of Work to Be Done: I N�Q I�Q'1!['7J F1T �(G f�7(M� 'Ff X7c�(�� Q 7�7.�! <br /> UN �fa�12'��' 1-f.J� �26b EJi'h(Q2 J�'", <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> B[ IN RACEWAYS, MC OR AC CABLE. <br /> „� � <br /> �.J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certify fhat I have read and ezamined fhis application and knowlhe same to be hue and <br /> r,orrect All provisions o/laws and ordinances govemmg this rype ol work will be comple(ed <br /> �vhefher speciGed herein or noL The granting ol a pernut does nol resume to c�ive aufhonty fo <br /> violafe oi�cancel the provisions of any other state orlocal law reguPating conslruction or the <br /> peifomiance o/construc6on. That 1 am au�horized by Ihe owner o/this property to peAomi the <br /> work hr which applicafron is made and 1 comply wilh Ihe State Contraclors Law 1827 RCW and <br /> 2J6.200WAC. � l ��- <br /> . %)�? �� �7 <br /> - �'-�.g-€��' L f�:,�., <br /> ( Si9naWre Date <br /> SeYGe�! ��11 i Icl�v <br />