Laserfiche WebLink
� <br /> �LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-£3857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 0 AM TO 4 PM �' �I C�) `V� <br /> r'� ,�y'� c-���'o s--oS j <br /> �O{O J� ��C/�S.Y �(`ril\\th'{}`� ��� f--l-�Cl <br /> PROJECT ADDRESS <br /> ��1 ���� �G�'�4'7 �c�w�P _ <br /> OWllef —�— M1wilAddrmn City St�'eRip F1wn.,; <br /> Jl.� <br /> Tonont � A1ailAddress City State2fp Pho�N: <br /> `ai5-�742- i-I'?L`Q <br /> �Q,�G`j' .P:�(� �1P1,}'S`Yt�� 15\O� bO��rv�w �'17'�K�M�� �'�� ��2b <br /> E�ectrlailcoiud,clof MoilPddress Ciry State2lp Chonn <br /> � v F_R �s� `'��1 1���- I �'SC�� <br /> State License Numbar Cantra_t Price of Work <br /> .�l i. . .�(� <br /> Proposod Use of Building Conl2d Person (Plnn Review) <br /> Des'cription of Work to Bo Dono' �r�Gj .�}�'C{II /� ' ��,�� � (1��W <br /> r� l��k c z > >>` ��,_�- F�.��s , o��� �F ex��-.���� <br /> .:l�s��I ,� > �n--vb� �c��e 1>oxS WI c��- � -� ��� <br /> NOTE: WIRING IN NpN-DWFIIINGS IS REQUIRED TO FEE <br /> 8E W RACEWAYS, MC OR AC CABLE. <br /> qTY OF C-VE-RETT LOCAL$ALES TAX CODE IS 3105 <br /> 1 hereb certKy thaf I hav�:ieed and axomJnod this application and Mow tha samo to be troe and <br /> correc�All provisions of laws and ordinances govemmq ihis type of wak will be crompfe[ed <br /> i whotherspccifisd herei ormt Tho granting of a pennd does notp�Swne to give authorrfy to <br /> vrolate or canco/tho p sions f nnyWher state or local law iegula6ng consfruc6on or fhe <br /> poAnmia e o/Con fia�. t I am authorized Ay fhC owner of Ihis pmperry to peifomt the <br /> woric Ior hich nppl on is m e a d I compty with the State Contracters l.aw�827 RCLV and <br /> 2962 AC. f <br /> f � �fi-lQ -O� <br /> ISlynawrs Dnte <br /> i1 '� /!U�% <br /> '.l��'� � �/ <br /> � <br />