Laserfiche WebLink
Sep 14 11 08: 34a Keller Electric, Inc. 360-668-7431 P• 1 <br /> �f.Z �c�11 • i3 � GL � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everethva.org <br /> APPLICATIONS ARE ACCEPTED �ROM 8 AM TO 4 PM <br /> I <br /> �,�7�_��'w-��'��� �'L,�'/� �/ i <br /> �j� !'t-' <br /> PROJECTA�DR�55 <br /> (� I � '�� � c � � ��� � <br /> I!,YV/��c-%/�-I �-��Ll,�f' �. U� �i��_(�'E'A� l N� 1.�(`.z.: Ce <br /> Owner Mail nddress City Statelzip Phon= <br /> TenOnt Mail Addres5 Cily Slale2ip Phone <br /> �,I�Sk>c'�r��. ,i�� �1�I.s- Jc�ef� S�t"Si Sfi1��E�,���sl� r„)/�t `1�,�`�� - <br /> Electrical Contractor Mail address Gty siaterz�p 3L�;,.��,�on .3 ' <br /> �� <br /> �21.�C.�=1-7�'`�cl � �� <br /> State License Number ConVact Price of Work <br /> ���-�J �GP -C�v�V"�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �escriplion of Work to Be Done: � NN,�'a� �9'�� \`�� ��5 �� "�'������C 5 f '�"�5�`�`����'P�(— <br /> ����c_�+ i ` -�'' 'i' CNI^ �i T� �S 7Z•1I��N�• C i fC��i'l'S' 'T��S' Ct>it,1�� L�_�_ <br /> � <br /> NOTE: WIRING IN NON-DWEI.LINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 <br /> �,II 1 hercGy certily thaf I lrave read and oxarnined this applicalion and kno�v 7he samo fo Ge true ar,d <br /> cor�ecf. A!1 pmvisions of laws and o(dinances govommg fh�s type o(wwk tvitl be completed <br /> wNether specified hwoin o�.noL The grtinfing o(a pormd Uces rm!P�esume ;o give authority fo <br /> viofate or canrel fhe provisions ol any othersfate or local ra�v reyulafing conshuction or the <br /> pcAormance o/cronstrucfion. Thaf 1 am aufhonzed by the ovmcr of this property fo peAorm!hc ^ <br /> work tor ivhich application is mad�,nd I comp/y wifh fhe State Confracfors La�v 1827 RCW and n l/ <br /> 296.2G0 AC. l �6 <br /> � ;� /�° 9- ° <br /> � c �.� �I �� l l <br /> ���:ipni vc Dale <br /> I <br /> L�_� <br />