Laserfiche WebLink
/_ ✓ __(/ � <br /> �_— — - — <br /> � ELECTRICAL pERMIT APPLiCAI"IOIV <br /> � CITY OF EVERETI� PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT &CREDIT CARDS ARE NOT ACCEPTED <br /> � <br /> I��-� 5e E�J�P-ttl {�+�At.� wAy �kE <br /> PROJECT ADDRESS <br /> k,JGQSu1K ,1.�'ALT[� 1312 i. LiIKeSt'IC(�E Di' �f`K� �il`'VE�IS� vJP, `l�'L5� ���' yG� 213 <br /> Owner Mail Address Cily Slate(Zip Phone <br /> Tenant Mail Address Cily Slate/Zip Phone <br /> �')USCN [lrCiC�IL PG 3U � 0 '3 UkKE STEVLtiIS . ��/v� ��25� (y25) 3�17 87�� <br /> EleClriCal COnlfaClor A4ail Address Ciry S�ale2ip Phone <br /> �V�� �CI-��I I1.1' � <br /> State Li:.ense Number Contract Price of Work <br /> -SF� <br /> Proposed Use of Duilding Contac[Person (Plan Review) <br /> Descriplion of Work to Be Done: �11�F (VCU) �OI TA��E {`1JaS��i �r7�'F ( �U:`t�17 <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIFtED TO FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE. <br /> 3� �� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I !hereby certi/y fhat 1 have read and examined fhis applicafion and Imow the same l0 6e true and <br /> conecl. All provisions o/laws and ordinances governinq fhis type ol work will be cornpleted <br /> �vhetherspeaGad herein or no: Tl�e grenting o/a permit does not resume fo give aufhoriry fo <br /> violate or cancel lhe provisio�is ol an}�ofher sfate orlocal law reguPatinq consWction or the <br /> �� perlormance o!cons�rucfion. Tfiaf 1 am aufhorized by fhe owner of Ihis property to pedorm fhe <br /> ! �vork lor which applicafion is made and I comply with fhe State Contracfors Law 18.27 RCW and <br /> ' 296.200 WAC. <br /> �.., <br /> i ��-� /-�7^�iK-. <br /> Sic�naWre Date <br /> I / F <br /> I - �. ' J <br />