Laserfiche WebLink
� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM S `��3 <br /> C-13D5—�bz <br /> // / �l/e,^e t/ f17ct// Cc�a.-r� S(,J � 3 /c� i4 <br /> PROJEC7 ADDRESS <br /> .S Q..t g¢.� .Si`}A <br /> Owner Mail Address City SlatelZip Phone <br /> _ ��5� S/�'A <br /> Tena Mail Atldress Gry State/Zip Phone <br /> /-�� � e,v� �z�u�• , ����-� �w 2;�.��a ��i ` a�x) 33- <br /> ElectricalConiraclor MailAtldress C�ry �lel�ip Phone <br /> 3 3;j <br /> �J�u�C'Ec i N� Yt `i'd/ 7 � <br /> � �� CyE� a�� ��l �aD.�J . ov <br /> Slate License Number Coniract Pnce of Work <br /> t�i- i,l����-- �l��-����-C'�/ ��Y����`��� <br /> P oposed Use of B ilding Contact Person (Plan Review) <br /> Description at W rk to Be Done: l�C-��G / ! 1 �lU�'2�U � "i��''` � <br /> �11� 9 �/ — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. { � � GjO <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certify fhat 1 have read and examined fhis applicafion and know the same to be Irue and ��3 0 5- I l0 2 <br /> correcL All provisions of laws and ordinances govemmg Ibis type ol work wrll be.completed <br /> whether spea�ed herein or not The granting ol a permd does not resume to grve aufhority to <br /> vio/a(e or cancel the provisions o(any other s fe or local law reguPahng consfrucfion or fhe <br /> performance ol construcfion. m aut rr ed by the owner oI(his property to peAorm tho � <br /> work lor whrch applica � I�is made a 1 c mpl with the Stafe Contracrors Law 18.27 RCW and , <br /> 296.200 WAC. <br /> 0 <br /> � � � '� <br /> i:- f! <br /> ipndlure Da <br />