Laserfiche WebLink
ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SE�VICES <br />3200 CEDAR STREET, EVEftETT, WA 98201 <br />425-257-8810 - FAX425-2.57-8857-v,nvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />;,� �i2 / l-�� � � ,�) v� <br />PROJECT ADDRESS <br />Owner <br />Tenanl <br />Mail Address <br />vrvc.L ��'Svi�yl-,t,,r�� <br />Mail Hddress <br />Ci�y <br />Cily <br />Sfate.2ip <br />State2ip <br />Phone <br />Phor e <br />2r � <br />�,��lc�.��'iC 7,�'3vSr- 32",f� ic/t:�r��� is�.�.�� �v;9 `%d'nvo za��-�iLc <br />E;eclrical Coniraclor Mail Address City Stafe/Zip Phone <br />�)i�{ �-�,�F �� %2. �� � <br />Stato License Number <br />���'R/ JNL�' <br />Proposed Use of Building <br />1 ZlJ.�: % J� , «v <br />�� <br />ConL•act Prico o( Work <br />��1,'r7 � / C'?� <br />Conlacl Person (Plan Review) <br />�escriplion o( Work �o �o Done: � c)v �7�i: �/br j j�'L�a Cc7�7 L-�V'/ — ��{.�r%�C �'E�.f•Si��-�� '( <br />j �, ���-� r��vi� � i G,tir�;•,,,f,"- �viZ t?-�Li SNO/� ih✓c) <br />Lf�s'�'�, i ���% �z' ( /�L i'C_[.�,r_4�.���- l-/��C- !`#Lf����t`l <br />v <br />NOTE: �VIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BF IN RACEWAYS, MC OR AC CABLE. <br />�ITY OF E��ERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />J� 03. � � <br />' he�..'�y ce+.:ly Ihat I have read and exarnined this applica(ion and kno�v fhe some to be frue and � <br />r.erro-:. All provisiuns olla�vs and ordinances goverrun� fhis type of a�ork �vill be comple(ed � 1� t�. �� l.� <br />«hc;i:vr s�=ecined herein ornoL The �rartfin� a/ n pernut does not �resumo to givo authonty fo <br />violafe or cancel the provisiau ol any o0ier s(ate or local la�v rec�ulntin� construc(ion orthe <br />�eiformance of consliuction. Thaf 1 am authoiized by (ho mvner olthis prope�ty to peilonn tho <br />�ro�k lor ivhich applica(ion is rnado and 1 comply �rilh fhe Slafe Confracfors La�v 18.27 RCW and <br />29�.200 WAC. <br />l C� /`_I / �'-C. E', <br />/G //3/�0 <br />