Laserfiche WebLink
US/15/2[i67 12: 13 4253538934 EVERGREEN SECURITY PAGE �?/O1 <br /> ELECTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, WA 9820� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I�J�� �YIdUS�}11,1 S�' <br /> PROJECT ADDRESS <br /> Owner Mall Address � c�ty Slalc2lo Phone <br /> ll,� va,n i�u 1�d�����-r st 3afl :�,�i,vn ��o� �is�.-� <br /> Tenant Idall Address City Stote/Zip pnane <br /> ev Y-�:'n SeCu��-�� w�Uc��+,�5"� I�l ��Q�} Ww-��'Zc� �75—�.�1�-3s-s� <br /> Eloclnca ConlfaCtor Mail Address � City SWIe2ip Phone <br /> �_ V�[L�SLI►2LZ (n��5. �0 <br /> Stato License Number Contract P�ice of Work <br /> C4w� ��Y�t,�tP <br /> Proposed Uso ol8ullding Contact Per n (Plan Review) <br /> Deccrlptlon of Work to Be Done: �(/]� �(/ '1 i�k���Q .�I ��! �� � � I��S�IT�'Vl <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWqYS, MC OR AC CABLE. � �U <br /> i �J <br /> CITY OP C-VERETT�OCAL SA�ES TN(CODE IS 3105 <br /> � � <br /> I hemby certily fhsf I nave read and examined fhis spplication and Irnow�he seme fo be fve and L � ? L��� — �� <br /> con�:ct. AU provisions offa�vs and ordlnonces goveming Ihis type of work will be comvleted � <br /> whefher speciled herwn cr noL 7hB grgnfin�ol a FermR does nofp Iesume to give aufhority f0 <br /> vrolofe or cancef Ihe provlslon5 o(any other stafe or loCal law rpg�lating construction or the <br /> performance of cons(NCtiOn, Thef I ditr authonzed by thC owner 01 this p,nperty to p2dOrm IhB <br /> v:ork!or which applicalion is mode snd l cempty w•I(h fhe S�ete Contractors Law 18.27 RCN�snd <br /> L9&2OO WAC. <br /> __���� � I� �0� <br /> S�Q,2 iro �,t� , <br /> I <br />