Laserfiche WebLink
l <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMfT SERVICES <br /> 32G0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 11PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> to�r� (�x�,,ti'Yh-�UO �JCLu <br /> PROJECT ADDRESS <br /> �� 9 � , � ' t 11 � � / v��A �kvv� <br /> ..�cU.� t�nnn�l F��i�i;...l �n� '9525 «- �cl� � � c C,: �CJi u i � r ,-r � �'- <br /> O•Nnef ldeilAdGrass Cily SlatalZip Phono <br /> /) / 7 ` 1� <br /> ! e�_� ���Ll�� jytr�l�Ct \Y��1� <br /> Tenant Mail Atltlross City Stelo/Zip Phono <br /> i <br /> 1 �NIS� <br /> �'1�,�� iC ��i(�1'; ,.u�c / 7i�l�l (c[e�'lt,c 1'J�7i�7� ���1-��-�-�TonV� )A- �!4!U`f2 774-�Yf�l <br /> EleclncalContfaCtof ailAdtlress City Slete2ip Phona <br /> Uc_v�r,nm�- !7 0o I <br /> Slale License Num6Br Conlrect Pnce of Work <br /> �rr. n•. .n �'`l�i� ! ¢�) <br /> Proposed Use of Bmiding Contact Pereon(Plan R�iew) <br /> Descnption of Work to Be Done: �,l Y-�n--r irM�, j O !� P-�- n rr21� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EYERETT LOCAL SALES 7AX CODE IS 3105 <br /> I hereby certi/y that I have read and examined this applicetion and know the same to be true end <br /> correct. All provisions ollaws end ordinances�ovemmg this type ol work wi/l be comp/efed <br /> whelher specified herein or noL 7he granting of e pertnd does not presume to give outhonry to <br /> vio/ate or cancel lhe provisions of any other slete orlocal law regu/eting construction or fhe <br /> peAo/mence of constiuction. That I am aufhonzed by the owner ol fhis property to pedorm Ihe <br /> 'I woik lor which applicetion is made and 1 compty wi(h fhe Sfete Confractors Lew 18.27 RCW and <br /> 296.200 WAQ. <br /> il <br /> � � :'/�'C � � " / 3 (� � <br /> i <br /> (Si nawro ato —� �� <br /> � <br /> !� ��� �-���y <br />