Laserfiche WebLink
O1/JO/201i OO:Oi F.a.l" �OOJ <br /> � <br /> EL'ECTRICAL PERMIT APPI_,ICATION <br /> �CITY (1�F EVERETT PERMIT �SERV1:ES o <br /> 3200 CEDAR STREET, EVERETT, WA 9820'I � "a's✓ 7 <br /> 425-257-8810 - FAX 425-257-8857-www•averet��a.org � �7DC� _) �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO�� 'M <br /> �1�s�-�Q�� �� /�, <br /> PROJECT ADDRESS q��lJ' <br /> �1 r� ��o�o' �v - �=__� 5,���-1/�-�"' Phone <br /> Ow�ef �dail Adtlrec;: ��tY <br /> Tenant . MallAddress Clry <br /> StatelZlp Phone <br /> �r�1'-�`� y�> ��P��-►�ir--anC qq� -�'��-l� � � <br /> EIeC�rical Cofllta�t Mall Adtlress Clry State2ip �/��°N?� ` <br /> VLk:J <br /> � t- L � / <br /> I � �� ��� �� '� Coi�•actPiiceofWork <br /> , Seale License Number <br /> � Proposed Use of Builcling Coi�act Person (Plan Review) <br /> � . <br /> II Description of Work ta Be Done: ,��� rl /1"� `" '�`-� - <br /> � _ <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO rFEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> � �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I <br /> I !hereby certify thaf I heve ro�d and exennned this eppl;cation and know the samo ro be true a id <br /> correct. Au provrsions of lews and ordir,.nces goveming this type o/work will be comp/eted <br /> wbether specified herein or not. The grcnting ol a permd does nof pmsume to give authonty f�� <br /> i violate orcance!the rovis�ons o(any other stete or k�cal law roguleting construcfion or 6he <br /> � peAormanco o/cons i chon. That I onr authonzed bv the ow�ner of fhis property to peAorm Ut�� � � �J� I � <br /> ' wurk lor which nlLcat n is made and I comply wifh the Stdte Gont�acrors Law 18.27 RCW 3 id I �- ! �, � <br /> 296.200 W . !\ � <br /> II ' � 1 __—.. <br /> ' I S• a alc <br /> I <br />