Laserfiche WebLink
ELE�TRICAL PERIVIIT APPLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRECT, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PPJI <br /> 5�a.6 ���-�,��� �Qy Su �+�� <br /> PROJECTADDRESS �v��� ��. y�yp3 <br /> � � ��� s <br /> �jr'�� {�ol�r:S / t � <br /> Owner � MailAddress City Sfale/Zip Phone <br /> �� c��,x- ��S� ��ei-y 56�6 C✓e�ee� ..✓ay �=vei-e ,fl'" 9�203 `/2J= �3o-6��8 <br /> —� State/Zi Phone <br /> Tenanl MallAddress $uiJ-� City P <br /> EledricalCoNractor MailAddress City Stafe/Zip Phone <br /> �t a000� <br /> Slale License Number Conlracl Price of Work <br /> /�. /�I -1 � /-larv� WGCOtwof-f��_ <br /> COMMG-L�`41 `-'� �d'r �i S� � �� ' <br /> Proposed Use of Building Contact Person (Plan Reviev�) <br />- Square Footage Qf residenfial neva consiruclion, remodel or addilion) <br /> Description of Work to Be Done: / � �� a��OJ r � ��� 3P{l�Se °2 �f'��` aq�l- ��O✓ <br /> ;rGt��S T Oµ'��275 /^S� B.e w. c..� Civ�2 / l�l l,� c�SG Gp• <br /> ..Z.� C . ✓1+-Okn-��L� C15� r�lG �tible. � `�=���(1—_ � �^ <br /> . �/ 1� � ��-/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ' b�. S�/ <br /> CITY OF EVERETT LOCAL SAL[S TAX CODE IS 3105 <br /> !hereby certi!y that I 6ave read and examined this applicafion and I<novi the same lo be true and <br /> correcl. All provisrons of la���s and ordinances govemmg fhis type of wark will be completed <br /> �vhetherspeci�ed herein ornot The granting of a peimd dees nof resume to give authority to <br /> violate orcancel the provisions of any otherstafe or/ocal lar, reguPting constructien or fhe <br /> pedormance of constiuction. That I am authonzed by the ownerof thispropeAy to perform fhe <br /> �vork(or whrch application is made and I comply t+�ith the State Contrac(ors Latv 98.27 RCW and <br /> 296.200 WAC. <br /> ��� ��,,,,,,,�i �/�e'�-�i�/2 <br /> SiqnaWre �ale <br />