Laserfiche WebLink
-� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /Z '�d��b <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org L'���z.Q�(� <br /> �a� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � C�lb,, �,,.�.- �U.�-1- w.� ���� <br /> PROJECT ADD� <br /> OWnor hlailAddress Ciry Stale2lp Phone <br /> i <br /> ��� �,,.� 1��<.ti � <br /> Tenant Mail Address City State/Zip Phone <br /> _)��1(' Tv�� �� ����1��P �DY7 .�n����c I 1 S). �c� ��ti %���� <br /> Electrical Conlractor Mail Atldress Cily Slate2lp Phone <br /> ou5,`�4� Gl�� <br /> �'���F.�zIJ\�� Ov���, �8c�0 <br /> Stale Liconse Number Contracl Prico o(Work <br /> N'Y.�\\ tv�Q ��:�1� �'-r�• ^� ,�L�*��,�v� <br /> Proposed Use�f Buildinp Contacl Person (Plan Review) <br /> Doscriplion o(Work to�o Dono: �''Y�V�"� E'�'X�S�� �C �, eb� C �, rtt.1.� dv5 \ 1'�1�'-v� <br /> 1 O C �.�a ��,.. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3105 <br /> 1 heieby cerlily that 1 have read ai�d ezarnined Oiis application mid kno�v the sarno lo bo tru�and <br /> correct. All provlslons o/la�vs and ordinances gavemm�fhis q�pe o(�rork�vill bo complated <br /> �tihether speclfied herein or noL Tho�ranting ol a pamut does nof prestmie to give aufhonty to <br /> violato orcancel lha provisions of any ofhersfafe orlocallaw regu/efing consfiuction orthe <br /> perfo�mance o(construcflon. That 1 am aufhorized by fhe ownerof this propedy to perfomi the <br /> �rork!or�vhich application is mas�e and 1 canply u•ifh fhe State Confrnctors Low 18.27 RCW and <br /> 296.Z00 IyAC. <br /> . � 1 U (� <br /> �e:-�-- - /�-- ��- v� �- � <br /> ✓ ,�%Slonawro � Date � O I l O <br /> v <br /> . <br />