Laserfiche WebLink
! <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �_� �p� <br /> 3200 CEDA� STREET, EVERETT, WA 98201 <br /> 425-257-8610 - F%+X425-257-8857 -wvnv.everettwaory Co9�-003 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� 12 I-loyr 5-r <br /> PROJECTADDRESS <br /> ��c 'E" I�� in� 1'1 � 7�L 1��'l 5i CV�!'z-�'�' 1.JR ���Zv� <br /> Owner Maill�dress Crty State2ip Phone <br /> Tenant Mail AtlGress Ciry StatelZip Phone <br /> ��" 'J Ll�l }"1-lCy iiu: 122 i'15`� 'i�5k1 L��nv.lcc�1 _ 1..1(� `)bi.�'7 (vzS)7•1�=� 5Z� <br /> Elect�ical Contrado� Mail Address Gty State2lp Phone <br /> '�* �= <br /> _�— <br /> 3D�L�.c� �a�Z -�n _ �� <br /> State License Number Contract Pnce of Work <br /> Proposed Use of Building Conlact Person �Plan Review) <br /> Descnption of Work to 9e Done: lJ��1�� 1`�Z� �Z���--��� ��`"S� <br /> �JOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> I8E IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 hereby certily that!have read and examined Niis application and know the same ro be true and <br /> ��rl ( ' � - L�, 5 <br /> cor2tf. All provisions of laws and ordinances goveming this type ol work will be completed <br /> whether specified herein or not The g�anfing oI a permd does notp 2suma to give authonty to <br /> violale orcancel the provisions o/any otherstate or locallaw regulaling construction orthe <br /> pedormanco of wnsfrudion. That I am authonzed by the owner o/this p/operty to perlorn the <br /> �vork lor whieh applicatinn is made and 1 compty with the Stafe Contractcrs Law 78.27 RCW and <br /> ?96200 WAC. <br /> � -' • L`� <br /> -�,.. _ � <br /> 5igi atur! � / Uate <br />