Laserfiche WebLink
�_ <br /> . <br /> ELECTRICAL PEftMIT AQI�LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-�57-88E7—www.everettwa.org 31��2 <br /> / <br /> APPLICATION�ARE ACCEPTED FROM B AM TO 4 PM �-/2p 3—O�I D <br /> Z?S'�rJ L'�V;F,P G,�,��N u'�C���f <br /> PROJECT ADDRESS <br /> ,i-lkt;�N �r.� Z�Sl1{ �27�'�S�_��1s�i�r�� t�it} �82g,6' <br /> OWnef Mall Address City Stale/Lp Phona <br /> enant C' Matl Address� W ity S�2ip Phone <br /> R�,•� ",��n� �•�r^�-o i�' )� !�IA/4 S���P�anEw lY/'�4- ��JS� �-(?5445 S49 <br /> ^ z y� ��� Ci SlatelLip Phon9 <br /> Eleclrical Contractor Mail Address ry <br /> P� (Y�iu?� c�9'� �jf �o� �00 <br /> State License Number Contract Pnce of Work <br /> Propased Use of Building Conlad Person (Plan Review) <br /> Description of Work to Be Done: N"« �� �'`��r"` C��"V <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certify that 1 have read and examined this applicatlon and know the same to be tnre and � l ZU�_ O� ((1 <br /> correcf. All provlsions ollaws and ordinances goveming lhls rype o!work will be completed ��'v <br /> whether specified herefn or not. The granting o(a pertmf does not presume to give authority fo <br /> violate or cancel the provisions of any other state or local law regulating constn�ction or the <br /> perfomtance o/construction. That I am aufhorized.by the owner of this�roperty to peAortn fhe <br /> work(or which application is made and I comply wdh the State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> 1 � �•`�•`� �Tc <br /> SI nature Date <br />