Laserfiche WebLink
( i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERM'T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIO�'�;5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1'.�c�t 1t�w �1t Rv�e. <br /> PROJECT ADDRESS <br /> C�%cl k,�e�b-��I�l) �?,c�'� Kew,� � ���.2tt 1,,,lR �;Y 2�` 1 <br /> Owner Aiail Address Ciry Statc2ip �L� Phone <br /> - 33� si�y <br /> Tenanl MailAddress Cily Slalc2ip Phonc <br /> � � � .f, N�/ P����i� �ti113 5�'A-'Ci1�w� ���'UI Zo6�-6SL�921 <br /> Electrical Conlractor M1tnil AdAross Cily StatclZip Phone <br /> ckuae������;5 3 � I �. o0 <br /> Stale License Number Contra�Price of Work <br /> I�CZ. \ 1�i DDNcli�l � <br /> Proposed Usc of Building Contact Person (Plan Review) <br /> Descriplion of Work ro 8e Donc: Tti��ll Lo�J �Vv (�.L�'_ ��5��lQrv� S 7)K•"� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 3S DO <br /> 1 hereby certi(y Ihaf 1 have mad and examined fhis application anA know the same lo be Irue and <br /> correcf. All provisions o/laws and ordinances goveming fhrs fyUe ol work wrll be complefed <br /> whelher specdied herein or nol The g�anting ol a permd does not presumr fo give au(hority to <br /> violalc or cancel the provisions ol any other stafe or locaf law re,r,ulaling construction or the <br /> per/ormance o/consWchon. Thnt 1 am authonzed by fhe owner o/this pmpeny(o pedomi fhe <br /> wo�k 7or which applicafion is maAe anA I tomply�vilh fhe State Confnclo�s Law iH.27 RCW and � <br /> z9�zoo WA�. 1 <br /> , � <br /> — s�,�� «,:.�- ol� ��IC'� (�O�) <br />