Laserfiche WebLink
ELECTRICA�L PEF�MIT APPLI�ATIt7N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICA710NS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �o�G ,!��.—/�.;�;,.. <br /> PROJECTADDRESS <br /> ��Zp/ <br /> j�'l:�/,� ✓e'i=�f�l 7��'(. /�c^V�/�'r �"!/�/"� �� (,�� � �G(o 7�13 703�/ <br /> Owner Mail Atltlress City StatelLp Phone <br /> Tenant Mail Pddress City State/Zip Phone <br /> / <br /> ��c%v k���r�� � .��- l� G'. �o,e zzy7 1 y��n�✓aoc� G*��G3��2a/ S�"/�- <br /> EleclfiCal ConlfaCtof Mail ACdress Ciry StatelZip Phones�fj� <br /> G� <br /> �n.�e�t ri� .d�o�9 /3GG!% /�°o <br /> Stale Lic nse Number Contracl Pnce of Work <br /> �.v"�' ��1q�`1 }/itlL�C /^u�lt� �� — <br /> Proposed Use of$uilding � - Contact Person (Plan Review) <br /> Description of Work to Be Done: �J G/'u c�e� ✓! /�'��G� ir1G�'� l6CG,�i ai'/ �� /Cr,�1 Q <br /> Cf.f!C 6Lc�/,E'P"S / ���/6tS'� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceRily that I have 2ad and examined this application and know the same to be true and <br /> coneaY. FII/provisions o!la�vs and ordinances goveming this type ol worh will be completed <br /> wl:ether speci/ied hr.rein ornot. The grenting of a pemut does nof 2sume to give aulhority to <br /> violate or cancel fhe provisions ol any other state orlocal law re9uPting construciion o!the <br /> peAormance o(conslrurtion. That/am authonzed by the ownerol this property to peAomi fhe <br /> work/or which application is made and I comply with the Stafe Contradors Law 18.27 RCW and <br /> 296200 W.4C. <br /> � � y/ r �. � � <br /> �\/ /`��%G���� �/� /����i� <br /> Signature /�-' ` �a� [/,y � <br /> � <br /> / ' .' I <br /> ��`'I <br />