Laserfiche WebLink
� — <br /> ELECTRIGAL 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 �/0�/'-��9 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Iu�G P.or. �-v�.. �a S�ZoI <br /> � ���,�'< < <br /> PROJECT ADDRESS <br /> P�`ks�� k,��u �.I�. ,�s ��,�� �a�. ��e��- , w.� q gZo� <br /> er Mail Address Clty Slate2lp Phone <br /> Tenant Mail Addrass City Stale/Zip Phone <br /> � ( � fti �� ��77 G�/!t- S�J3/7 82-��5 <br /> ca- ,�"r �A�i/� 7e `�G�3 �u� - <br /> Eleclrical Contractor A7ail Address City ate2ip Phone <br /> s�&.�r-Z q yY�n �3,�� . od <br /> State License Number CoMra�f Wor1c <br /> Proposed Use of Building Conlact Person (Plan Roview) <br /> Description of Work lo Oo Dono: _(�7 57q �/ yZ l-0G�Y'/o�n,$' O{ ����ej� \/C <br /> �-/Sa T��,�-/l <lJ lo Sfr��ol �J2i�! -�'�; . -F'r,�•� �/z�_ <br /> ,41sd �,�sf�-l( �i� s� P4,� -�'�.�� JJ;�,�� <br /> NOTE: W I41NG IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 [ l , <br /> I hereby certily fhaf 1 havo read and examined tfris applicafion end know fhe same fo bo fruo and 4��'i � ��-/ �� <br /> correcf. All provisions ollaws and ordinances govemmg lhis type ol wo�k will be completed <br /> whelher speafied herein or noL The granting ol a pemuf does nof presumo to give au�honty fo <br /> violafe or r,ancel the uovisions ol any other sfafo or local law regulating construcfion or Ihe <br /> perfomiance o/cons�niclion. Thaf 1 am authorized by fhe owner o/this property to pe�lonn the <br /> work lor which application is made and 1 cornply�vith the State Contractors Law 18.27 RCW and <br /> 296.200 I�VA C. <br /> ' �,.��� — � <br /> �� ��� r\ � � �.�_ � �la�a <br /> __ _ � -Si atu e �� Datb 1 <br />