Laserfiche WebLink
r <br />t <br />�LECTRICAL PERII/IIT APPLICATION <br />CITY OF EVERETT PERMIT �ERVICES <br />3200 CEDAR STREET, EVEREl-f, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 P�7 <br />� 3� /'�aC'r S��/ J`� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />'s J i(' <br />Mail Address <br />Mail �ddress <br />' ��iCC�'✓'� G l�rc J� O- <br />Coniraclor 61ai1 Address <br />3a��e �/�e� oG�S�'� ll <br />Slate Lice so Number <br />Proposed Use of Building <br />Description of WorM, lo Oc Done: <br />�� <br />NOTE: WIR'NG IN NON-DWELLINGS IS REQUIRED TO <br />BE !' J RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�� <br />� �v�r���- <br />—�i�y <br />Cily <br />J <br />Stale/Zip <br />State/Zip <br />J/� � <br />Sta�c!Zip <br />� <br />z��d' <br />Contracl Prdce o( Work <br />��ag�/a <br />�/�o/-/o/ <br />Phone <br />P1 onc <br />g0� <br />5?!6 � <br />Conlact Person (Plan Review) <br />� <br />1 hereby certily that 1 have read end examined fhis applica!ion and know Ihe same to be true r�nd <br />correcL All provisions o(la�vs and ordinances govemmc� this type ol work will be complefed <br />u�hether spea6ed herein or noL The granfing o( a pennd does nof presume to give aufhonty fo <br />violafe o: cancel the provisiens ol any other sfate or local law regulating consfruction or ff�e <br />performance oI consiruction. That 1 am authorized by the ou�ner of fh�s property fo perfonn (he <br />work (or �vhich applic�tion is made and 1 comply �vith the Slate Conhactors La�v f0.27 RCW and <br />zss.zoo wnc. <br />FE[ <br />Ci cx�i - � o� <br />Phone <br />