Laserfiche WebLink
Sep 21 10 09:53a p 2 <br /> _ t <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREI'T, WA 98201 <br /> 425-257-861Q - FAX425-257-8857 —www.evereHwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> q ..a� -�o <br /> Y01 t�e�k� (�r:ce C �Q D�'1 �-10,3 <br /> PROJECT ADDRESS <br /> ,(ee ICy u F� LUi��- <br /> , c�� cti�: �,�,.-t-T�� �o��i sa Pi �J g�a�� <br /> � Owner VailAddress City S;atNZp Phone <br /> �'p.fk> l�r:�t_ I`I,rkeY SOl 1�crYs �����e YZ7crett' fJA/Q$�o3-'t5�to C��as)353 -ia�o <br /> Tenanl Meil nddress , Ciry statrJZp Phone <br /> �360� 35H-85N� <br /> .A�,1 ?�zlds C—Iect�;�.,LLG JND,�- r.�,-rrre-r Lv,.«le� iJfF�qS..3EU �E <br /> , <br /> Electrical Cont2dor Mad Aadress Ciry StatelZip Phone <br /> �l L�F1F�qY3S6 `�I,E� <br /> State License Number Con!red Price of Wotk <br /> �or�cr Sio.e l`1..�kc�' Ff�r�,l� 1�;ck�Nx.-, ��J�3,)N-�h�e <br /> Proposed Use of Build�ng Contact Person (Plan Review) <br /> DescriptlonofWarktoBeDone: �;nk'1;re� r^yre�rt' i����,c.-'i- i:u��,�-r:c 1�-,��c.si5 :-,fo P+ecf��.;� ��n�{%�rTS. <br /> > > <br /> ��,'eut�/'t:.��.T `',cyLctS ic�-1n�. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 37U5 <br /> I hereby cortily lhaf I have read and examirredlhis applicaLon and know Nie same to be lrue and <br /> ^wrect AU provisions oflaws and ordinances goveming fhis rype ol work wiU be cnmpleted ���� ~ I � <br /> irhether specified hera;n or not. The oranfing of a permu does no1 presume to give authoriry to <br /> vr�late or cancef fhe prawsicns ol any otherstate orbcallaw regulating constmction orlho <br /> performance oI constructr�n. That!am authonzed by tho owner of tAis property fo perform fhe <br /> vrork for which application is made and 1 comply with the State Contractors Lau�18.27 RCW and <br /> 296.200 WAC. <br /> / <br /> ��� 1=G�-�'_ �ia�, ia <br /> S;gnalure Oz;� <br />