Laserfiche WebLink
ELECTRICAL PER�VIIT APF�LICe►�TlQN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982Q1 <br /> 425-257-8810 - FAX425-257-8857 -wNnv.e✓erettwa.org <br /> APPLICAI"IONS ARE ACCEPTED FROM 8 AM TO 4 PM � $ � " <br /> ;;�, � '� �s< < -�, �� c. �c=f�" L ��' `� <br /> PROJECT ADGRESS <br /> � ��i'- aZC tl L��-C� � •'tF1.� <br /> Owner Mail Address City StatelZip Phone <br /> Tenanl A1ail Address City Slale2ip Phone <br /> �, r z ?D , l �`1�S ) <br /> ��t'i rc � I �( 1 i� T I �i 3��w��L � ��virc,.��s W/�- Sr�'D�H ?��{-c��l <br /> Eleclrical Contraclor Mail Address City State/Zip Pnone <br /> CC �,vl D�J F� � o n / J�-� - <br /> � '��Q � � <br /> Slate License Number Conlract Price of Work <br /> Proposed Usc o(F3uilding Conlact Person (Plan Review) <br /> /iJ' <br /> r <br /> Description ol Work to �e Donc: �r'i �"!� ��/ En� �1��1�1 � <br /> d —�D�r�� 'ldD1� lX'—/_Ylit}�'C� �.tCLPI'� <br /> NOTE: WIRIWG IN NON-DWELLIf._� IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Ihat 1 haave read and examined this applicafion and know the same to be true and <br /> � cor�ece All p�o��isions olla�vs and ordinances goveming this fype o/�ti'ork�,vill be completed <br /> whefher specdied herein or noL The c�ranting ola pernut does not p�esume to give authonty to <br /> ; violate or cance/Ihe provisions o/any other slale or local la�r regulating consirucfion or the <br /> performance o!r,onstrucfion. Thaf!am aulhorizod b,- fhe c�rner o(this properiy�to perlonn Itie <br /> wo�k!or which appGceiU �i�made and I cornpl}��;ith Ihe Sfata Conhactois L2�s 182i RCW and <br /> 296.200 WAC. <br /> ^ , <br /> � � , � _ =" _ o- - <br /> , �pnatur �` uate <br /> i <br /> �� . <br /> i / <br /> � — �� / `—" ���L�— <br />