Laserfiche WebLink
� <br /> ELECTRICAL PERMIT 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 /> � Iv3 ail,►� �„ �,� � <br /> PROJECT ADDRESS� <br /> � r�1�.L� /Il1�_l � I.l ��� n i � '� f �"�iaV�,�� <br /> Owner Ivlail Addmss � � Cily +— Stalc/Zip Phonc <br /> TCn3n1 Miil Addic55 Cdy Stale/Zip Phonc <br /> �l/I.r . VC� V I�Y I�. � � �_i__l���n �!1 1 Y�YYI(,w,�1 —l-S/G ( ,��-/ /,�a �D.rT7 <br /> [lectrical Conlractor Afaii Add�ess Cny Stalr,ilip Phone <br /> �-��, r S�.I � �K�� <br /> S ate License Number Contract Price ot Work <br /> Propo;ed Use ol Building Conlad Pcrson (Plan Review) <br /> UescriptionolWorklof3eDone: �'�� U,t)N� C7vl�oY.1� ��2__..[�e�_� �r � /� �Ch N/ <br /> � hs !�_ ��:G (�.�__— — -- -- <br /> - --- -- --- as�q�� <br /> NOT[: W II�IWG IN NOIJ-DVJ[LUNGS IS REOUIRFD TO fFC <br /> B[ IN RACEWAYS, IviC OR AC CAE3L[ D <br /> � �.� - <br /> CITY Of EVERETT LOCAL SAL[S TAX CODE IS 3105 � <br /> 1 he�r,ny ccriity(hal I have�ead nnd ex�mined Ihis applicalion und kno�v fhe sarnc to be f�uc nnd <br /> coirecl. All previsions o!laws:�nd ordinances yoverning tliis typo ol work will be wrnplefed �\, ' (�- �t <br /> whefhrr speci/icd heie�n or nol. The granfing n!a perrnd does nof/vesume fo give a�dhonty fa ��V �-,/O Z � (7 v 3 <br /> viol�fe or cancr.l fhe provisions o!any olher stafe or loca!law rer�u o6ng con;iruc6on or(he <br /> peilormancr o/consirur.fion Thal 1 am aufhoiized Ly the owncr o!Ihis properiy fo perferrn!he <br /> work lor which applicafiun is made and I comply wifh fhe Sfefe Confraclors Law 7N 27 RCW and <br /> 296 200 l j <br /> , <br /> � � 5 <br /> -- - -=,-- - --- -�—�= --- - <br /> -tilt3iiat rt�, ' `� — Dale <br />