Laserfiche WebLink
� �yb ?�so r � 1 <br /> ELECl'RICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8657-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br /> 1O}tit {�j� � SOtCT�I- � � <br /> PROJECT ADDRESS <br /> Ownar MeilAddress cNy slete/Zip Phone <br /> Q�,� � / (lo�N NwY 9f 5 a�D� <br /> rFXf7XCMW�Jf.£ /`h�TtYN,077/� ��. �l.{I{" �D� �f�'3'f� �5A r <br /> Tenant Mall Addresa Cily StatelZJp Plane <br /> ADT 11824 North Creek Parkway North Ii105 Bothell, WA 98011 •�fZ,r� �/�� l�f' <br /> Eledrical Contractor Mall Addross CNy SteteZp Plnne <br /> nnrsesip3zos �GDo� <br /> Slate License Numbar Contrad Price of Work <br /> Kl� � <br /> Proposed Use of Building Contect Person (Plan Review) <br /> DescriptionofWorktoBeDone: Install low voltage alarm system <br /> NOTE: WIRING IN NON-DY�ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thaf I have read and examined fhls application and Wrow fhe same to be hue and <br /> correct. All provisions o(laws and ordinences goveming fhls typa o/work wfll be complefad <br /> whether specified herein or rwt The granfing ol a permd does n�tp resume to ghre auN�oriry fo <br /> vidate w cance/fheprovisJons o/any ofher sfete or local law reguleting constnictlon or fhe <br /> per/amance of const�ucfion. Thaf 1 am authorized by the owner o/fhk roperty M perlorm Nie <br /> work Ior which applicetion is mnde and I comply wifh the Sfate Conhac�rs Law 18.27 RCW and <br /> 296.200 WAC. <br /> ; J ��--;� T.�2.r/O�� <br /> Sgnalure �� Data <br /> �oSoZ_13� <br />