Laserfiche WebLink
ELECTRIt��L PERMIT APPLICATION � <br /> CITY OF EVEKETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � Z <br /> 425-257-8810 - FAX 425-257-8857 -���ww•everettwa.org � "� 6 <br /> G��zD��(� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br /> � O�o� 3 1-b�I� D�'�� �e, _ <br /> PROJECT ADDRESS <br /> q2S-2�1�- <br /> WC1Ctc� Qfok-�1E�"S �q22 g7t1��J� N� �nIS��1� YSZ7C� 2yz� I <br /> Owner PAailAddress Cily StatelZip Phone <br /> Tenant Mai;Address City Sla�elZip Phone <br /> Electncal C�Nr�tor ldail Address City SlatelZip Phone <br /> I <br /> State License Number Conlracl Price of Work ' <br /> Proposed Use o Buildi �`�� Contact Person (Plan PevieaQ <br /> Square Footage(If residential ne�v construclion, remod�.l or addition) <br /> � Description of`Nork lo Be Done: `�U ���Y ��� ���` ��a'� <br /> � <br /> G FEE <br /> NOTG: WIRIN� IN NON-DWELLINGS IS REQUIRED TO `, <br /> BE IN RACEWAYS, MC OR AC CABLE. �0 C�V <br /> I <br /> ' CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 i <br /> i I hereby certi/y that I have read and examined this applicafion and know lhe same lo be(rue and � \ Zop. O� ,l <br /> correct. All provisions oflmvs and ordinnnces 9ovemine�(his type of�vark will be completed � O (J <br /> eihetherspeci�ed he�ein ornoL The granting o/a pemut does notp iesu�ue fo give aulhonty fo <br /> viola(e orcancel the provisions o(any otherstate orlocallav�regulaling consln�ction or(he <br /> pe�/ormance o(construction. That 1 mn au(honzed by lhe ownero(fhis prope�ty to pedomi the <br /> v:ed<!or whicN application is made and I comply�a�ifh the State Con(rac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> SignaWrc Dale <br /> -r - �� � <br /> �� 'ry � <br /> « <br />