Laserfiche WebLink
Sep o7 os 12:45p <br />�LECTRICAL PERMI'T APPLI�ATIQlV <br />CiTY OF EVERETT PERMIT SERViCES <br />3200 CEDAR CTREET, EVERETT, '�iJA 98201 <br />425-257-8810 - FAX 425-257-8857 — www,everettwa.org <br />p. 1 <br />APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM - DEBIT & CR.t'.DIT CARDS ARE NOT ACCEPTED <br />_3dd�' <e'vn��.�� <br />PRpJECTADDRESS <br />7enent <br />�� <br />Meil PAdnas <br />Mail Aadrose <br />� 6( e� <br />�aeu Aar.rea, <br />�£'�ags �Y� <<° <br />State Licansa Number — <br />� Fft,..- <br />PropOsetl Uae o1 BUIICinQ � '—� <br />Deacdptlon of Work to Be Done: <br />NOTE: WIRING IN NON•D'�NELLINGS IS REQUIRED TO <br />BE IN R4CEWAYS, MC OR AC CABLE. <br />CI7Y OF EVERE7T I.00AL 9FU.E3 TAX CODE IS 3105 <br />! heroby certffy that 1 hava read an0 exemined fhis eoplluUon and knc� <br />COrroc[ Al/ provf:rons c/laws and orc7Jnences gevervnp fnis type ol wc <br />wnether spoc17/E0 hereln or nat. TY;e prcndnp u/ e permd does notA ros <br />v/plete Or coaca/ fhe provistans of eny otner stato a/ocaf le w repu/atln� <br />pe�TonnenceolconsvucUon, 7he(Iomeuihonzedby�heovmeroftpis <br />work lo� �•hich epplfce.�on /s made and 1 COmD�Y wfN tqe Stefa Ccnhad <br />786.2r,0 WAC. <br />���'' ��/1,���"" P/ � <br />G�ry <br />� <br />py <br />i <br />G� <br />� <br />V �'d'1�3 ��5�i <br />SO�tw�Ylp <br />State/YIp <br />1 �� <br />SMtelZ'p <br />Corrirett Pr1ce cf Wor1c <br />COrttdtt Pereon (Plan Revlaw) <br />e fo be we en: <br />complated <br />+c autronry t� <br />Slon or the <br />FEE <br />�'�oG <br />.�. <br />r <br />PNon• <br />Phcne <br />