Laserfiche WebLink
ELECTRiCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMi i SERVICES <br /> 3200 CEDAR STREET, EVEP.ETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �) �-� q � v� <br /> �0�09—!G� <br /> ., �/� � <br /> � <br /> � �U� �✓/��2 yrc�lv <br /> PROJECT ADDRESS <br /> � � ✓�l i t: N /7R2ti'!S 7b'�i !�✓.�.,���i.z:�/ [.�.'h y �' v��Z ETT � �- _ <br /> Owner Mail Address Cily SlatelZip Phone <br /> LLua r-(ousE U2,�� �/8oy ��F.�2 ,���ti w�y Ev,�,2�- wM - <br /> � <br /> Tenant Mail Address ity State/Zip Phone <br /> .» ��T�C��r�� T�e�Y�c c Z3�f�F�/ ,3F) �/�v'E S' �C.�..�� (�J�4 `J8D �L Zo� �78-Z� G <br /> Eleclrical Contraclor Mail Address Ciry StatE2ip Phone <br /> D� <br /> .sFJuTi-Eri3� G P ( 2 �� 000 <br /> State License Number Contract rice of Work <br /> � es-r�1Z��T CKZiS fiSAc (-�US _ <br /> Proposed Use of Building Centact Person (Plan Revie�v) <br /> Descriptior of Work to Be Done: /C9_%u � d-c". / �X i ST� ���j �,5 T/�-�</L �1 "� � ' �..��� �__�___ <br /> i � <br /> � � <br /> �,� � �,v��rA- ! � �� �u-✓ /.�i .v , ,�� � y lrT �`'�.�'Tui�' S t�I �'`-�— <br /> / <br /> I�l.�.�.� /<, T�� ,v �O L� , � ��=-'L>� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQU!RED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerfily Ihat 1 have read and examined this applicalion and kno�v fhe same to be true and <br /> conect A/l provisions o/laws and ordinances goveming fh�s type of work will be cornpleted <br /> whether specified herein or noL The granfiny oI a pernut does not resume to give aufhonty to <br /> violate or cancel the�rovisions of an�other state orlccal/aw rec�uPting cons(ruchon or the <br /> perfonnance of construclion. That 1 am aufhorized by the owner of this properfy to perlorrn the <br /> work for:vhich applkafion is made and I comply���ith the State Conlracfurs La�v 18.27 RCW and <br /> 296.200 bVAC. <br /> l� / /��� G � Z j -:� <br /> � / <br /> / /� <br /> Sic�nawre � oa�o � I <br /> , ��� i � <br /> � <br />