Laserfiche WebLink
ELECTRICAL �ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.arg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /Z - i �—cJ � <br /> �1 U `S�l Z-U'J!� <br /> Y`i �l� �"?'�;�'.'.� /<�f/ <br /> PROJECTADDRESS � i <br /> Owner A1ail Address City Slate/Zip Phone <br /> /� r <br /> _!,t•/�i %r� �YG/ll S�i zo L✓e%;e�'w !�r/,, E;i�'�c (,�,� ��'�'.U3 <br /> Tenanl A1ail Address ✓ Cily State2lp Phone <br /> �'�Lf�. ...:/)�7i���� C'»�.�y�'A'. �%�,1.� �%�y�Jl ����J� ��j �)/qlG✓D�'P �/�� /O(�J(i" �G.S" � ��'��i�i <br /> ✓ <br /> [lectrical Conlraclor Mail Address Ciry State/Zip Phone <br /> �i`';(�� > r-�- , ������ - <br /> � C � CY��lS�, <br /> State License Number Contract Price of Work <br /> � �- . / <br /> /i'o�-/. � '/ c�.,a���. �.:� U.r .C.! <br /> Proposed Use of Building Contacl Person (Pla Review) <br /> % / � � <br /> � <br /> Description af�hbrk to Be Done: --��,-v �i�/�r� 2 �;�=�/U'� =li� ,<'�� -'f-�/ �; ClCri�cr,��, <br /> ,�'�s, �_ /�_;� 7:!F?�_ %r> �7�=✓ r'�� J _ <br />. <br /> NOTE: WIRING IIJ NON-DWELLItJGS IS REQUIRED TO FEE <br /> BE IN R,4CEWAYS, Iv1C OR AC CABLE. <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 -� <br /> �. � i � ; .� <br /> 1 hereby certify fhat 1 have read and examined this application and Irnotv the snms fo 6�frue and �--� � • - � L' <br /> correct All provisions ollaws and ordinances goveming this type o(work will be complefed <br /> whefher speci6ed herein or noL The granfing of a permd does not presume to give authonty fo <br /> violafe or cancel the provisions of any other state or local la�v regulotina consfrucfion or fhe <br /> pedomiance o/consinicfion. That 1 am authonzed by IhQ owner oI this properfy fo peiform the <br /> work lor which applicafion is made and 1 comply wifh fhe State Contraclors La�v 18.27 RCW and <br /> 296.200 4Y/LC. <br /> � <br /> / C-�\ �-� .-1 - / Y <br /> '�. �� ��:. i �li��� ���� — <br /> /Slg-�YaWre D'ale � <br /> �_ <br /> __1 <br />