Laserfiche WebLink
EL.ECTG�ICAL PERMIT APPLICA,T�ON <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE.TT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATfONS ARE ACCEPTED FROM 8 AM TO 4 P�7 <br />��,lo -�-�oy-� A��e <br />PROJEC7 ADDRESS <br />Owner Mail Address City Stale/Zip Phone <br />(irj Co��n�i I O� act10 1-ioyk A�� <br />�:����h��rn�5h ����nt-y E�erc,i-f W�� `1��01 <br />Tenant Mail Address Cily Stale/7_ip Phone <br />,2c;c,Kwe II �lec�� < <br />Electrical Conlractor <br />�ocKc;��;��1 Km <br />Slale License Number <br />�1 l � <br />Proposed Use o( Building <br />fl(_ Z23 �rv �11� �o�S S-t P�n llincj��5�� ���.3iU0 S�O `1a�13 <br />Mail Address <br />Cily Statei7_ip <br />'� 3,cou <br />Contracf Pricn of Work <br />(jrv. �vGkV�l� <br />Conlact Person (Plan Revievr) <br />Plione <br />Description of Work to Be Dona: �Y1 S}—u I I 1—(>i,� V � �{i� G�' �N i/l /7 UI ��� �A UL�� (> <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I herebvi certily that I ha��e read nnd examined this application and kno�v the same to bo truo and <br />conecl Flll pruvisinns o�la�vs and ordinances �n��ernm2 fhis fype o/�rork will b� complefed <br />�rl;e(her specilied herein or noL The yranting oI � pemuf does nof nesume fo give aulhonty fo <br />viola(e or cancel fhe /�rovisions olany ofher stnfC or local fa�v re�ul�fing construcGon or fhe <br />per/onnance olcenstrucfion. That ( am aut6orized by tbe o�sner o/ fhrs property to peAerm the <br />�vak lor �vhich applicafion is mado and I comply nitH thc Slale ConUactois La�v �8.27 RCW and <br />296.200 WAC. <br />� -".: -.- _— j <br />�� <br />s�„�<<�,� <br />/ <br />3U� I 1 <br />FLE <br />U � �� <br />��D�� <br />