Laserfiche WebLink
cLEC�'RI�AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 6 _ S � � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C��06-D uG <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> t. `� C� "L. �J �,.. �jr.ro� �✓Z �o✓�l C-Cc ���Zi, r <br /> PROJECT ADDRESS <br /> r/�� ` l ` �9��� <br /> l_.,;�C��� �i �5f C_�u.vc�., a,� /`/�r2�vcnt Zi�'e. �,wv������A�vi �i/e,�-P�'{ �ti �GLo / <br /> Owner Mail Addre4s City Stale2ip Phone <br /> Tenant Mail Address Cily Slale/Zip Phone <br /> c r— <br /> ��- � �g��vnun�u,�ior,t �� 1�vv. �9� I�KS�-cucc�5 wi� ��lLSB '-fLr_Sc�B-39 �v <br /> Eleclrical Contraclor Mail Address City Slale/Zip Phone <br /> I�� COGvlC -� IDI4� I �� OOO . pp <br /> Slale License Number Conhacl Price of Work <br /> CVl l.� ✓CM TK7✓� V' a�L/ c�ci v� <br /> Proposed Use of Building Conlact Person (P an Review) <br /> Descriplion o(Work lo Be Done: I ✓! 5 �Zi �� l�l �e O VC_/`«�/�O r— 9` LU I�'2- <br /> � <br />� <br /> � NOTE: WIRING IIJ NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CCDE IS 3705 <br /> 1 hereGvi certily that 1 have read and examined fhi�application and knav the same to be true and <br /> correct: All provisions ollaws and ordrnances goveming this type olwork will be completed <br /> �rhefher speci6ed herein or,noL Tha�ranting ol a pernut does not �resume to give aufhonty fo <br /> vio/afe or cancel the provisens ol any other state or local la�v regulafing consWction or fhe <br /> performance o(constnictiou. That 1 am authonzed b}�fhe awner o!fhis preperty fo perf�mi the <br /> �vak Ior which applicafion is made and 1 cornply with the State Confracfors Laiv 18.27 RCW and <br /> 296.200'vVA(� , _ <br /> �:�-�lleu � v�,.� �rc.� � <br /> � <br /> �\_ "�J �`_ L.�. _ C� I�-I Z O�� 1 � I <br /> ! <br /> " i�i�iWre Dae �� <br /> I/� <br />