Laserfiche WebLink
� <br /> j <br /> ELECTRICAL PERMIT A�'PLICATION <br /> CITY OF EVERETT F�ERMII" SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 3 �-(��/Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �j�3�� c <br /> .� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �. O�'-r I � 1-I�o �-``�' {�2, <br /> PROJ ECT ADDRESS <br /> Go�-o r-► r��-.rH �¢�P�L;,�s u-�- � �v� 5�2� ��� r`r �2v� <br /> Owner MailAddress Ciry State/Zip Phone <br /> � <br /> Tenant Mail Addross City Staie/Zlp Phono <br /> �'�P1SSl N �L��1 V�1 l, Q''J LLJ� �C� c�Xc1 y O ��`=�'2�17 y ZS 33 S' ' � I <br /> Electrical Conlrector Mail Address City State/Ztp Phone <br /> �c�.��s�c:.,�S�PC�-�— `� /oc�`.� <br /> Slate License Number Contrect Price of Work <br /> OF�i �� ��-�-�5 PRoD��Tiarv <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work tc Be Done: �I �� � — � �M P �5'�L� �L�—_ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. �� 5� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y that 1 have read and exemined Ihis application and knoro the same fo be true and C I Z o3— ��S <br /> correct. All provisrons of laws and ordinances governmg this type o(work will be completed G <br /> whether specified herein or not. The granfing o�a perttut does not presume to give aufhonty to <br /> violafeorcancelthe provisionsofanyotherstateorlocallawregulatingconsWctioncrthe <br /> parfomtanco o(construction. That 1 am authonzed 6y Uie owner ol this property to peAomi fhe <br /> work(or which appllcation is made and 1 comply with tho State Contractors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> �--- �1rs � <br /> Signa re Date <br />