Laserfiche WebLink
Nov 03 OS 07:48a Wm. Trae Brown <br />360-435-9489 p.l <br />�LECTRICAL PERNlIT APPLICATI�N, <br />CETY OF EVERETT PERMIT SERV!�ES <br />3200 CEDAR S'iREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICA710N5 ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEFTED <br />�rNI� l�U��9✓�.. <br />PROJECT ADDRFS <br />ke.� �¢�r�� �l�ll�( �io�t . C-v�.�f% In)A K�s-zSz-GC <br />Ovmer Mail Adoress r Ciry State/Zip Pnone <br />St•-t <br />Tenant <br />M1tail Address <br />fi� 1--tiG�� 1-1�,,(-r� r74rY R�d �,..1� Uf <br />ElectriCal ConVactor Mall AdOross <br />�9U�iL/`�C'�. 9 721<� <br />State License Number <br />NO ✓1C <br />Proposed Use of Building <br />Description of Wcrk to Bo Done: <br />S c✓..)cc <br />c�ry <br />A�L., �� <br />C�ry <br />StatelL:p Phono <br />��1 rd��-s Sba-4.rs-65zL <br />State2p P�one <br />i �/OC'J' <br />ConVa�: Prico of Work <br />Co�tact Person (Plan Review) <br />NGTE: WIRING IN NON-DWELI.INGS IS REQUIRED TO FEE <br />�E IN RACEWAI`:,, MC OR AC CABLE. <br />GITY OF EVERETT LOCAL SALES TAX wJc IS 3105 <br />I hereby cer"fy fhot I have read and examined fhis application and know the same fo be we and L G�'j`�- (j l�J <br />conect. A!7 provis:ons o(laws and ordrnances goveming this'ype o1 work will be complated <br />whefher speci6ed herein w not The granting ol a permrt dces not oresume to give auth,ority to <br />wu�a!z ar carce! the provisions ot any olhersfate oNocu! law �egu/ating con5lrucGon o� fhe <br />pertom�ance of ccnseruc!ion. That ! am authorizn� �y fhe o�vnei o1 this propeRy to perform �he <br />work Jenvhich application is .Tade and 1 compty with ihe State Contractors Law 78.27 RCW and <br />_ @�i.200 WAC. <br />� -r � r� -� - os <br />Signa[we Datc <br />