Laserfiche WebLink
Oi/SO/2011 15:01 F�S a25J5a89Jd Eversreen Securlt�� �OO1i001 <br /> l . <br /> ELECTRICAL PERMIT APP�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR StF2EET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS AR�ACCEPTED FROM B AM TO 4 PM <br /> �N��� �°` ` <br /> � i�� ��i� wC�/1 �ya)���-v�ia�' u�� <br /> PROJEC ADDRESS <br /> -��sl�f�'1�(hLtQ `� �J'PJ�' i�,1�,. l�l< i��S ��'�' l� ��SZ,l.3 <br /> p�,y�e� MailAddress City SlelelLip Phone <br /> � � �� <br /> Tenant Mal�Address �i4' St°���P P �� <br /> � Seu�.� 8�l l5 �+ w� q $2°� g D <br /> Eleclrica ontredor Mai Atldress City � ' staie/7Jp Phone <br /> �����-. � i a La � i �a �. � <br /> Slale License Number Contr��ice of Work <br /> �bmrv«,v�;cv� ���1 i�'�ux�� <br /> propnsed Use of�uilding Cantect Person (Plan Review) <br /> Oescriplion oi Work lo�e Done: �� l v <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI.SALC-S TAX CODE IS 3105 <br /> I hereby certily thaf 1 heve read and examined this app�ication and know thr.same ro be true and <br /> conecf. All provisicns of Inws ond 0!dlnerltBs govB�Nng U�is type of work will 6e completed <br /> whether speafied berain or not The grantinp ot o permit does nof presume lo give authoriry fo <br /> vrolate or concel the provisions o(any othar sfafe or local7nw regulnting consfrucflon or fhe <br /> peRormance of mnsfruction. That I am authorl2od,by(he owner o/ihis property to pedorm the <br /> work! icfr applicafion is made and!comply with fhe Stafe Contrectofs Law 18.27 RCW and <br /> 29 0 C. <br /> �j ! q I ( ���j ? -�� �- <br /> Slgnaw oata <br />