Laserfiche WebLink
r-- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 58201 .� �3 ._� "� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org CI a��`�I� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> y�z5 i��� �c-�2 fa� � <br /> PROJECT 1DDRESS i <br /> �nu� �� Uo� � �+ C�ooJ �-4`�',Z5-�w� C-�t�� �clE/',�7f� l,�A l'c�7°3��-4ZS)zSz����-� I <br /> Owne� Mail Address ity StatelZip Phone <br /> Tei��nt <br /> MailAddress Cily Stale/Zip Phone <br /> �,Udnl��u� n1rK.an-/1� oA, 1��5 w CA��uP13 ��Z� E✓�7��.J�1 952�,`F �ZS�375—�J7'JI <br /> Electrical Contractor <br /> Mail Address Cily StatelZip Phone <br /> `Lt �.��. U Z <br /> i , �A�r� i,.;r . �nG � � <br /> State License Number Cont act Price o(Work <br /> � ��, — <br /> `? � � � �A M"� Conlacl Person (Plan Review) <br /> Proposed Use of Buildiny <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description ot Work to Be Done: J i Y'-� � 4�-/k�� C� �� ���� ���' � F � �S <br />� �y. �t �.� /�L� �� 2.E �E)O �- �l l' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, Mt; OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE iS 31U5 <br /> 1 hereby ceRi/y fHat 1 have read and examined this application and kno�•�the same to be tn�e and � <br /> correc�. All prowsians olla�vs and orrlinances g��veming lh�s type o(�vork uall6e,completed � <br /> �vhether specified herem or,noL The granting o(�pemut does not resurne to g�ve authonty fn r� <br /> violate or cancel(he provrsions of any ofher state or local law mguP6ng construction or fhe � <br /> peifonnance ol consfiuc(ion. That 1 am aulfionzed by fhe o�vner oI this property te peifomi the <br /> �voric(orwhich applicahon is m�de and I comply�vii'�(he Stafe ConVac(ors Lflw 18.27 RCW and V \1� <br /> 296.200 WAC. <br /> _ �,2� i "Z_ <br /> aWre Dale <br />