Laserfiche WebLink
ELECTRICAL PERMIT APPLICATIO►`� <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 <br />� <br />(vU% Sc' cvE,eETT%`'IALt 11/�Y -SUi7E 2 <br />PROJECT ADDRESS ��/�'�'�, In,'r'i 'a � �U� <br />Owner <br />Tenanl <br />Eleclncal Conlrector <br />2Et�c.tc��3yr i <br />Stale License Number <br />C%/,V� � <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />Mail Address <br />City <br />% /'%A�L, f.�l, <br />City <br />UCTJ�"'n/ LC � <br />acy <br />��2�� <br />SCm'TSD.�Cc fIZ _ <br />State/Zip Ph0"e <br />��Z�b <br />7t_ i .---- , �n <br />Statel_ip <br />Phon^ <br />- 3i5-5v'75 <br />Stat=./Zi Phone <br />/rliG[ C,QEE/� , L�A 98�52 <br />�k 23 38� <br />Contract Piice of Work <br />J:4`I C�C3t,"'AG <br />Contact Person (Plan Review) <br />Description of Work to Be Done: TcN�JNT /%��t'2t=✓E����/ �'F %a� FXISi i NG- Sf'/-10E - <br />/.vSiPJti:JT.c.i,� r'-!= L�/-.�'i fi,r,�K.'S r�ND .�"E'�'T9C'LES <br />_ . . _ ._. . �,Y,,,.�- tiu�-rnii•di i�.�n�.4C70� _ <br />FEE U <br />NOTE: BE�RN RAC WAYS MC OR AC CAB�EUIRED TO,/ -7 <br />�50 � <br />CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby ceRily that 1 have read and examined fhis application and know the same tu be true and ��� i f- I r� � <br />correct. All prowsions ollaws and ordinances goveming this type o/work will be completed �Y �� <br />whether speafied herem or.noL The granhng of a permd does not resume �o grve authonty fo <br />violate or cancel the provisions of any other state or local law reguPting construction or the <br />peAormance ol construction. That 1 am authonzed. by the owner o/ this property ro perform the <br />work (or which application is maAe and 1 comply wdh the State Contraclors Law 18.27 RCW and <br />296.200 WAC. <br />y //B <br />