Laserfiche WebLink
LI — I -G <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT pERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �n <br /> 425-257-8310 - FAX 425-257-8857 —www.everettwa.org `��,� <br /> APPLICATIONS ARE ACC�PTED FROM 8 AM TO 4 PM <br /> ii� <br /> IC�� ( S E (;ve re � 1`�� �� � ,,��� 9�ao�( <br /> PROJECT ADDRESS <br /> ��D 4.7 <br /> � � �� ' rsu� 1.i5/h �i � sT �-� Sa �M;sl, �n1,4 9�aq� Yd� -�a� 3 <br /> Owne�� MailAddress , City Slale/Zip Phone <br /> Tenant Mail Address Cily SlatclZip Phore <br /> �.�b� <br /> ✓ ��d ,�/ <br /> �fGt5Ps1 Y/P����� y��g �S;- $T,G 1 �nun��,� /.!��� ` �� l�'O�/✓z ?3S-87a2,Z <br /> Elec6ical Contractor h7ail Address Cily State/Zip Phone <br /> �/ARAs������ � �vs �� , <br /> Stal���,j,��.s�YNumber � Coctr�PnceofWork <br /> � 6PS�c,ti'l� � lPSi�e ces �c, .�fH��s�,� ��) 3�S�F'��� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Oescriplion of Work to Be Done: �� � �O �/y� ��Hi�[ �s_ <br /> �`+.�M,94G�, , -- <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC Or�AC CABLE. <br /> � �� <br /> CITY OF EVERETT LOCAL SA��S TAX CODE IS 3105 <br /> /hercby cerli(y thaf I have read anl examined Ihis app/icafion and know fhe same to be true and <br /> cor�ecL FlII provisions ollaws ano ordinances governin�this type of work will be completed � <br /> whefher speciGed herein ornot The granting o(a pemut does not resume to give authonty to � <br /> violafeorcancellhe provicionsolarryofherstateorlocallawreguPtingconstructionorlhe /� <br /> pedormance of consfruc,r✓�,. That I am authorized by the owner ol fh�s property fo peAorm the <br /> work�or which app!icafion is<r,:ade and I compty�vifh the State Con(racfors La�v 18.27 RCW and <br /> 2ss.zoo w�aa � <br /> �,c�..=.�. y�d�� � <br /> i SignaWre v• Date <br /> ��C�'c;iGW - l'(cC� <br />