Laserfiche WebLink
ELEGTRIC/�L PERlVIIT i4PPLIC�4Tl0(V <br /> CIYY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-&810 - FAX 425-257-8857 —www.evereitwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �J�GYJ ✓�'� 1 i-U���� �, <br /> PROJECT ADDRESS <br /> �, � ��/�« ��s�� ���/; �2_ �z%,��r� Sc�y y��.s=�,�����- <br /> (Owne� Mail Address � City State/Zip Phone <br /> �\ <br /> J <br /> Tenant hlail Address City Slale/Zip Phone <br /> C/GU!'�--� <br /> ElecfriCal Contreclof A1ail Address City Stafe/Zip Phone <br /> Stale License Number Contract Prico of Work <br /> `�I:!� _ <br /> Proposed Use of Buildinc� Conlact Person (Plan Review) <br /> Description of Work�o f3e Done: /J,�'GG�•'�C C�� /�✓1.0y�L� <br /> � <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 / <br /> I l�ereb}�certily that 1 hare read and examined this application��rd hno�v tha same to be frue and l��I L�'� �� l� <br /> correcL All p�avisions o(laivs and ordinances governmg fhis type o/work u�ill be comple(ed <br /> �vhether specified herein or noL The c�rantin�of a pemut does not presume fo give authority to <br /> violate cr cancel the provisions of any other state or/ocal Imv reguleting consfrucfion or fho <br /> pe�fnrmance of construction. That f am aufhonzed by the owner of this propaiy fo perfomi fhe <br /> �vork Ior�vliich application is made and 1 compty�vith fhe Stafe Contractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> 1 � � / <br /> ' /� <br /> -' � ,�-Z4.�c_/�'��/"aucX.�JL L� �i <br /> Signaturc D3ta <br />