Laserfiche WebLink
� <br /> -� -- - <br /> ELECT�ICAL PERPJ►11' AF'�'LICATiOiV <br /> I CITY OF EVERETT PE.RIVIIT SEI�VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810 - FAX 425-257-8857 --www.everettwa.org <br /> APPLICATIONS ARE ACCEF'TED FR0�7 8 AM TO 4 PM a `� r� , � <br /> � <br /> � .� ;� ; (�, i�, I �, ( � �� .- I ,i i <br /> PROJECT ADDRESS ' , �. ,, :'�-� � �_� - , . i i_ � < ", <br /> /;i< L � CS1_ f�"� � ;', , _ `� �� � �� � r�-,1 . ;�r � �'_ <br /> OwneY ' Mail Address Ciry StatelZip Phonc <br /> Tenant �1ail Address Cily Sta�e/Zip Phone <br /> �- l� �- ��� � ' ( �/�i���/l�. (� ' ' .Il- �.��_, ..o�� l �. ��.._ 7,/C� i � �..� �^ '!�,`!�- <br /> Elec��iCal Conlraclor Mail Address City Stale2ip Phone <br /> ��� l ��� �7��'� <br /> S(ate License Number Contracl Price of N'ork <br /> �'� � , .( <<, � � _ _ t .� � .w-\ } <br /> Proposed Use of Duilding — Contacl Person (Plan Rrviev:) <br /> ?F... <br /> { <br /> / ��� <br /> � Descriplion of Work lo Be Done: �� � '^- `-`� �`��?y��'� ��-{� �"'--� �Y--i ` �-^� ' ' ' '� � -�, � <br /> 9 _� <br /> w <br />�.:' <br />.�5'�'��� _ <br /> � <br /> NO i�: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> CiE IN PJ,CE\NAYS, MC OR AC CABLE. �,v <br /> / ' �} �— <br /> /�(J ; <br /> ClTY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceiliF�that 1 h.ave road and exarnined this application and Wiow the same to be tn�e and <br /> a� corrr,cf Alf p!��vis'or,s olla�vs and ordinances governina tlus lype olwork will be cornpfe(ed <br /> whe!h>r sp�rrmn herern or not The granting o!a permd does not presume to give authonty fo <br /> violatc or cancel!ho prorisions oI any ofher sfate or local la�v regulating construcUon or fhe <br /> perlormance of consWcGon. That 1 am authorized by the owner o!this property fo per(omi t0e <br /> ° � work lor�vhrch application is mad�and 1 cornpty wifh the State Contracters Law 18.27 RCW and <br /> 'L96.200 WAC. � . <br /> / <br /> :� <br /> � _ -- -- �� : _ ,':. �- <br /> Signalurc �'Dale <br />.4:: '. <br />'F� .: <br />���. <br /> �o��z-r�Y <br /> � <br />� :p•;- <br />: _ _ <br /> ___�_ �- <br /> �f,� �;� , <br /> ; <br /> _ �^� <br /> - �� <br /> � <br /> < <br /> �� . <br /> f:, ;��. <br /> ::��-� <br /> �--- - <br />