Laserfiche WebLink
Feb 1 � 09 03: 46p DK Systems 36'0-EH8-2418 p. 3 <br /> � ; <br /> ELECTRICAL PERM�T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (oc� �-rcxs l� _ <br /> PROJECT ADORESS <br /> .�U(� i�� <br /> �; ,.�,-e#}" Schwl ���5-l-c�ic�' ��t'z� h.r'�f" �i82�� 4-Ls jss -}f'r� <br /> Owner Mail Atlaicss Ciry Slatc210 Phonc <br /> �l�/�t�.,., C�4n1.� NJN-f �IlCO ��L�CS lJ✓ �tre.c� 78)_Uj <br /> Tenant aillvltl�ess Cfty Slale2ip Phone <br /> � �L S,. C�Cw..s twc� i�c� l'�� `9�8� /�.��lrnata�-` SBZ33 3fic�`7S.SIS <br /> EleclncalCon actor fdallAtld�ess Ciry Slale/Zip Phone <br /> 1��YSL'��6� hti� <br /> State License Numher Contract Price of Wark <br /> �lr Ih-P.� +LJw� SGhW 1 <br /> Proposetl Use of Buildi g Cantact Person (Plan Review) <br /> Destnplion ol Work lo Be Donc: L I 1,-W�i'��U S7�L � <br /> NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TO FEE <br /> �E IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 3105 � <br /> !lioreby co�irly th�t!have read and araminetl this app6cation and kno�v(he same(o be frue and �O�0�—� � <br /> mnect. AJ provisions of l�ws and ordin�ncos�ovoming thls 7ype ol work n•�fl be comF/eted <br /> whether specilieJ hemm or nof. Thc 9ranhng o!a pemut does not presume fo grve authonty to <br /> violalo or canrnl!he provrsions ofany ollirr s7ate orlocallnw mr�ulaf:ng conshucfion t�r thc <br /> pB�(onn,nce of construcfion. Th�f!am aufhon.od Gy fhe ownoro!this piopedy(o peAnrm(be <br /> �roik lor wh�ch appGcatron is m�de and I comp�y vnlh fhc Slate Con6actors Lau•18.27 RCW and <br /> ?96.'00 ' C. <br /> 1 �+ q <br /> � ��—(,l�f�t�--y�li...,�1C�� '(t,✓ Z —rU 'C1 I <br /> Sigralurc Datc <br />