Laserfiche WebLink
O:t. ; l. i:� 1 � � : ;�A'� ��Vo. �'196 � . , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EV�RETT PERMIT SERVICES <br /> 3200 CEDAR S7RE�T, EVERETT, WA 98201 . <br /> 425-257-8810 - FAX A25-257-8857—vn^rw.everettwa.org <br /> APPLICATIONS ARE ACCEPT�D FROM 8 AM TO 4 PM <br /> d�a a �'o �es�- Vi e,w Dv' �v�r� 9'8 � .� <br /> PROJECT ADpI�ESS <br /> ���ri ��,e.r �,+�.t, A S�.�� �Z5 Zq� �228' <br /> O�mar Mall AtldreSs Clly Sfate121p pnone <br /> Tenant A7aIlAJdress � City Stale/2ip Phone <br /> .�Yl I�cc�l a Inc 14i� Br�d��v C e�°e:ti� tivA q�?l.�I �25 'z5�j (�(��� <br /> ElectdtalConlraClof MailAddress T Cdy Sta4�IZip Phone <br /> r"' <br /> c�I�iaFar-�i�oit�a � <br /> State License Number Conlrect price o(Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: �a� � � 1��-(r�-�.ac* "T� � �!�l i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE, ����j <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS �105 <br /> 1 hereby cerlily fhot I havo raad and exemined lhis eppllcafion and kno�r tho same ro ba troe and � I� I r"1 _ r/\ � <br /> correct All provisions olla�vs ond ordinances governing tnis lype ol�•:ork�vili bo cornpleted � V lJ C, <br /> �vhefhor speciliad herein or not. The granling of a Aemut doos not �sume to give aufhontylo <br /> viofa(e or cancel tho provisions ol any other ststa or local/aw roguPting consfruction or the <br /> pedormance ol consfrucfion. That!am aufbonzetl by the ouner of fhis property to perform fhe <br /> �•;ork lor�•.7uch appllcation is made and I comply with fhe Sfsfe Confrscfcrs Law 18.27 RCW end <br /> 296.200 WAC. <br /> � � � .' � �.� <br /> Signaluro Date <br />