Laserfiche WebLink
� � ��ce �--,v., 1� .('o <br /> � �I^=r'k- - v,"�"'c-SZ. �`� <br /> � `���ti. � �`� <br /> EL�CTRICAL PEf2MIT APPLIC�►TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �_�g _ �� <br /> El109 �-I '�3 <br /> .- <br /> J.2 ��� C lZ�a rs ry u�ti� <br /> PROJECT ADDRESS <br /> �f�e4 .� il ,.�- <br /> Owner Mail Address City State/Zip Phone <br /> ! "�� `-� � �6 ��� Phone <br /> Tenant Mail Address Ciry StateOJp <br /> '���u �lQ`� a � < ��� _37�� - <br /> Electrical ConUactor Mall Address Clty Slale/Zlp Phone <br /> (22 �cr� <br /> State License Number Contract Price of Work <br /> � `Z °I c� a� � . <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � � �� '— � i u e.� f`� J�L'bQ`-y__ <br /> Description of Work to Bo Done: ) � Z '�'µ S��� I v<-1 O r �-� L <br /> �, � I . <br /> ��.<fQ � 1 �� �� a..cc'1� ��^ \L.`Q���� Q '��4 <br /> � � 2 2�-'- � <br /> b�' �rLcc r � ( d-L5�1'a,l, l°+� d� ( � - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �\� ('q - ���-'� <br /> 1 here6y ceriify fhat I have read and exam(ned Ihls applicafion and know fhe same to be true and <br /> comect. All provlsions of laws and ordlnances goveming thls type o/work wi116e completed <br /> whefher specified herein or not. The granting of a permit does nof resume to give authoriry to <br /> violale or cancel the provisions ol any ofher state or local law regu ating consfruction or fhe <br /> perfortnance ol construcfion. That 1 am aufhorized 6y the owner of Ihis�roperty to perform the <br /> work(or which applicafion is made and 1 comply with fhe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� ��� � <br /> ,� //. �� ir <br /> -S gnalure Date <br />